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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Output above 30 mL/hr is acceptable and not concerning.

B. A BP of 122/88 is within normal limits.

C. A decrease in deep tendon reflexes (DTRs), such as 1+, can indicate magnesium toxicity and requires immediate intervention.

D. Normal pupillary findings do not indicate toxicity.

A. Obtain the client's HDL level. B. Collect the client's uric acid level. C. Check the client's glucose level. D. Monitor the client's thyroid function levels.

Correct Answer is C

Explanation

A. HDL level is not directly relevant to the error of administering metformin instead of metoprolol.

B. Uric acid level is not a priority following this medication error.

C. Checking the client's glucose level is the priority because metformin is used to treat type 2 diabetes, and its administration could lead to hypoglycemia if the client was not already on a diabetic regimen.

D. Monitoring thyroid function is not relevant to this error.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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