The nurse is wing concepts of pharmacokinetics with a group of student nurses. The student correctly identifies the timing of the peak effect

A. Neuroleptic malignant syndrome: Causes fever, muscle rigidity, autonomic instability, and altered mental status-not dry mouth or blurry vision.

B. Teratogenicity: Refers to birth defects from medications taken during pregnancy.

C. Parkinson-like syndrome: Involves tremors, muscle rigidity, and bradykinesia-not dry mouth or blurry vision.

D. Anticholinergic effects: Symptoms of dry mouth, blurred vision, and urinary retention are classic signs of anticholinergic side effects caused by medications like antihistamines, tricyclic antidepressants, and some antipsychotics.

A. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider." All medications must be documented, including over-the-counter drugs, herbal supplements, and non-prescribed medications to avoid drug interactions.

B. "A nurse should write a verbal order in the medical record for medications the client was taking at home." Verbal orders should be avoided unless in an emergency, and reconciliation should be based on a review of documented prescriptions and client reports rather than nurse-written orders.

C. "Complete the reconciliation process one time only when the client is first admitted to the hospital." Medication reconciliation must be repeated at every transition of care, including admission, transfer between units, and discharge.

D. "A comprehensive list of medications is reviewed upon admission/transfer and provided for the client at the time of discharge." Medication reconciliation is a critical process to ensure continuity of care and prevent medication errors. It must be conducted at every transition of care (admission, transfer, and discharge) to compare the client’s home medications with hospital prescriptions and make adjustments as needed.