A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following clients?
A client who is transferred to a step-down unit
A client who has a consultation for physical therapy
A client who is transported to radiology
A client who has a referral for social services
The Correct Answer is A
A. Medication reconciliation should be performed when a client is transferred between units or care settings, such as a transfer to a step-down unit, to ensure that the correct medications are administered and there are no discrepancies.
B. Consultation for physical therapy does not require medication reconciliation.
C. Transport to radiology does not warrant medication reconciliation as there is no change in care setting or medications.
D. Referral for social services does not involve a change in medication orders and does not require medication reconciliation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A sore throat in a client taking methimazole could indicate a serious neutropenic reaction, which is a potentially life-threatening side effect of this medication.
B. A WBC count of 12,000/mm³ is slightly elevated but not immediately life-threatening and is unlikely to be related to methimazole.
C. Insomnia is a common symptom of hyperthyroidism and not an adverse effect of methimazole.
D. Weight loss is expected with hyperthyroidism and does not warrant immediate concern unless it is severe or worsening.
Correct Answer is D
Explanation
A. Medication reconciliation is a process for reviewing medications but not used for documenting an error or adverse event.
B. The plan of care includes the overall care strategy for the client but is not for documenting medication errors.
C. Root cause analysis is conducted after a serious error, typically in a more formal investigation.
D. Occurrence reports are used to document any medication errors or adverse events in the healthcare setting for follow-up and risk management.
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