A nurse is preparing to teach a client about medication reconciliation. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

"Medication reconciliation is a process that helps prevent medication errors."

"Medication reconciliation involves comparing your current medications with your previous ones."

"Medication reconciliation should be done at every transition of care."

"Medication reconciliation requires you to keep an updated list of all your medications."

"Medication reconciliation allows you to adjust your medication doses as needed."

Answer and Explanation

Correct Answer : A,B,C,D

A) Correct. Medication reconciliation is a process that helps prevent medication errors by ensuring that the client receives the correct medications at the correct doses and times.

B) Correct. Medication reconciliation involves comparing the client's current medications with their previous ones to identify any discrepancies or changes.

C) Correct. Medication reconciliation should be done at every transition of care, such as admission, transfer, or discharge, to ensure continuity and safety of medication therapy.

D) Correct. Medication reconciliation requires the client to keep an updated list of all their medications, including prescription, over-the-counter, herbal, and dietary supplements, and to share it with their health care providers.

E) Incorrect. Medication reconciliation does not allow the client to adjust their medication doses as needed. The client should always follow the prescribed instructions and consult their health care provider before making any changes.

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Correct Answer is A

Explanation

A) Correct. The client should use an electric razor when shaving to reduce the risk of bleeding from minor cuts or nicks. Warfarin is an anticoagulant that inhibits blood clotting and increases the bleeding time.

B) Incorrect. The client should not eat more green leafy vegetables to prevent bleeding. Green leafy vegetables are high in vitamin K, which antagonizes the effect of warfarin and reduces its anticoagulant activity.

C) Incorrect. The client should not take an extra dose if they miss one. Taking an extra dose can cause excessive anticoagulation and increase the risk of bleeding or hemorrhage.

D) Incorrect. The client should not check their blood pressure every day unless instructed by their health care provider. Checking blood pressure every day is not related to warfarin therapy and may cause unnecessary anxiety or confusion.

A. Discontinue the IV line and start a new one in another site. B. Apply a warm compress to the IV site. C. Elevate the affected extremity on a pillow. D. Administer an antihistamine to the client. E. Flush the IV line with normal saline.

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

Explanation

A) Correct. The nurse should discontinue the IV line and start a new one in another site. The IV site is showing signs of phlebitis, which is inflammation of the vein caused by mechanical, chemical, or bacterial irritation. Phlebitis can lead to complications such as thrombophlebitis, infection, or extravasation.

B) Correct. The nurse should apply a warm compress to the IV site to promote vasodilation and blood flow, which can help reduce inflammation and pain.

C) Correct. The nurse should elevate the affected extremity on a pillow to facilitate venous return and decrease edema.

D) Incorrect. The nurse should not administer an antihistamine to the client unless prescribed by the health care provider. Antihistamines are used to treat allergic reactions, not phlebitis.

E) Incorrect. The nurse should not flush the IV line with normal saline. Flushing the IV line can worsen the inflammation and increase the risk of infection or thrombus formation.

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A nurse is preparing to teach a client about medication reconciliation. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving intravenous (IV) antibiotics for a severe infection. The nurse observes that the IV site is red, swollen, and painful. Which of the following actions should the nurse take? (Select all that apply.)

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

Explanation

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