The definition of medication reconciliation is?
An accurate record of the client’s current medications including prescribed medications and all supplements, herbal compounds, and regular use of over-the-counter (OTC) medications.
An accurate list of the medications that were prescribed at the point of discharge.
An accurate list of the patient’s medication allergies.
Obtaining the list of medication interactions of the current medications the patient is taking.
The Correct Answer is A
Choice A reason: Medication reconciliation involves compiling a complete, accurate list of current medications, including prescriptions, supplements, herbals, and OTC drugs, to ensure safe transitions across care settings. This prevents errors like omissions or duplications, critical for patient safety, guiding accurate prescribing and reducing adverse drug events in clinical practice.
Choice B reason: Listing medications prescribed at discharge is part of discharge planning, not full medication reconciliation, which includes all current medications across settings. This narrow definition risks missing ongoing therapies, leading to errors like discontinued drugs, compromising safety and continuity of care during transitions in healthcare settings.
Choice C reason: Listing medication allergies is part of allergy documentation, not medication reconciliation, which focuses on current medications. Confusing these risks overlooking active prescriptions, leading to potential drug errors or interactions. Reconciliation ensures a comprehensive medication profile, critical for safe prescribing and patient care across healthcare transitions.
Choice D reason: Obtaining medication interactions is a pharmacist’s analysis, not medication reconciliation, which compiles a current medication list. Assuming this misaligns with reconciliation’s purpose, risking incomplete profiles and errors like missed doses. Reconciliation ensures accurate medication records, essential for preventing adverse events and supporting safe care transitions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Head protrusions are not expected in older adults; they may indicate abnormal growths or trauma, requiring investigation. Thinning hair is a normal aging change. Assuming protrusions are expected risks missing serious conditions like tumors, delaying diagnosis and treatment critical for ensuring safety in elderly patients.
Choice B reason: Asymmetry of facial features is not a normal aging variation; it may suggest stroke or Bell’s palsy, needing urgent evaluation. Thinning hair is expected due to hormonal changes. Assuming asymmetry is normal risks overlooking neurological issues, delaying interventions critical for older adults’ health and functional outcomes.
Choice C reason: Thinning hair is an expected aging variation, resulting from reduced hair follicle activity and hormonal changes in older adults. Unlike vertigo or asymmetry, it’s benign and doesn’t require intervention unless cosmetic. Recognizing this ensures accurate assessment, focusing on abnormal findings like vertigo that need medical attention in elderly patients.
Choice D reason: Vertigo is not an expected aging variation; it may indicate inner ear disorders or neurological issues, requiring evaluation. Thinning hair is a normal change. Assuming vertigo is expected risks delaying diagnosis of treatable conditions like BPPV, compromising safety and quality of life in older adults.
Correct Answer is D
Explanation
Choice A reason: Smoking history is relevant for vascular or lung issues but not directly for unilateral arm edema, which suggests localized causes like lymphedema. Breast surgery history is more pertinent. Assuming smoking is key risks missing lymphatic causes, delaying diagnosis and management of edema in affected patients.
Choice B reason: Left arm edema may indicate lymphedema from breast surgery, like mastectomy, which disrupts lymphatic drainage. Asking about surgery history is critical to identify causes, guiding interventions like compression therapy. This targeted question ensures accurate diagnosis, preventing complications like chronic swelling or infection in patients with post-surgical edema.
Choice C reason: Recent weight gain may cause generalized edema but is less likely for unilateral arm edema, which points to localized issues like post-surgical lymphedema. Assuming weight gain is key risks overlooking specific causes, delaying targeted treatments critical for managing localized edema and improving patient comfort and function.
Choice D reason: Extra nipples (supernumerary nipples) are anatomical variants, unrelated to arm edema, which likely stems from lymphatic or vascular issues. Assuming this is relevant misdirects assessment, risking neglect of surgical history, critical for diagnosing lymphedema and implementing appropriate interventions like lymphatic drainage or compression.
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