A nurse is preparing to discharge a client who has a new prescription for insulin glargine and insulin lispro. Which of the following information should the nurse include in the medication reconciliation process?

The onset, peak, and duration of action of each insulin type

The storage requirements and expiration dates of each insulin vial

The injection sites and rotation technique for each insulin dose

All of the above

Answer and Explanation

The Correct Answer is D

D) Correct. All of the information listed are essential for the safe and effective use of insulin therapy. The nurse should educate the client on how to administer each insulin type, how to store and dispose of each insulin vial, how to select and rotate injection sites, and how to monitor their blood glucose levels and adjust their doses accordingly.

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Correct Answer is B

Explanation

A) Incorrect. Assuming that the prescriber intentionally omitted potassium chloride because spironolactone can increase potassium levels is risky and unprofessional. The nurse should not make assumptions about the prescriber's intentions or clinical judgment, but rather seek clarification and verification.

B) Correct. Contacting the prescriber to confirm that potassium chloride was intentionally omitted and documenting the rationale is the best action. The nurse should communicate any discrepancies or concerns about the discharge orders with the prescriber and ensure that they are resolved before discharging the client.

C) Incorrect. Administering potassium chloride as previously ordered until the prescriber responds is inappropriate and potentially harmful. The nurse should not administer any medications that are not included in the current orders, especially if they may interact with other medications or affect the client's condition.

D) Incorrect. Adding potassium chloride to the discharge orders without contacting the prescriber is illegal and unethical. The nurse does not have the authority or competence to prescribe or modify medications without consulting with an authorized prescriber.

A. The client's primary care provider B. The client's pharmacy records C. The client's medication bottles D. The client's spouse or caregiver E. The client's previous admission records

Correct Answer is ["A","B","C","D"]

Explanation

A) Correct. The client's primary care provider can provide accurate information about the client's current prescriptions and any changes made recently.

B) Correct. The client's pharmacy records can show what medications the client has filled and when, which can help identify adherence issues or discrepancies.

C) Correct. The client's medication bottles can provide information about the name, dose, frequency, and expiration date of the medications, as well as any special instructions or warnings.

D) Correct. The client's spouse or caregiver can provide additional information about the client's medication use, especially if the client has cognitive impairment or difficulty managing their own medications.

E) Incorrect. The client's previous admission records may not reflect the current medication regimen, as changes may have occurred since then.

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A nurse is preparing to discharge a client who has a new prescription for insulin glargine and insulin lispro. Which of the following information should the nurse include in the medication reconciliation process?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is obtaining a medication history from a client who is admitted for pneumonia. Which of the following sources should the nurse use to verify the client's home medications? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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A nurse is preparing to discharge a client who has a new prescription for insulin glargine and insulin lispro. Which of the following information should the nurse include in the medication reconciliation process?