When reviewing a patient's medication list during transfer, what is the nurse performing?
Medication reconciliation
Therapeutic drug monitoring
Pharmacokinetics
Incident reporting
The Correct Answer is A
A. Medication reconciliation: Medication reconciliation involves reviewing and verifying a patient’s complete medication list during transitions of care, such as admission, transfer, or discharge. This process ensures accuracy, prevents omissions or duplications, and reduces the risk of adverse drug events.
B. Therapeutic drug monitoring: Therapeutic drug monitoring focuses on measuring specific drug levels in the patient’s blood to maintain a therapeutic range, not on reviewing the medication list during transfers.
C. Pharmacokinetics: Pharmacokinetics is the study of how the body absorbs, distributes, metabolizes, and excretes medications. While important for dosing, it does not involve reviewing a patient’s medication list.
D. Incident reporting: Incident reporting involves documenting errors, near misses, or adverse events in clinical practice. Reviewing medications during transfer is a preventive action, not an incident report.
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Related Questions
Correct Answer is A
Explanation
A. By developing evidence-based strategies and educational materials: The Institute for Safe Medication Practices focuses on identifying causes of medication errors and sharing evidence-based recommendations to prevent them. Through alerts, guidelines, and education, it helps healthcare professionals improve medication safety practices.
B. By manufacturing medications: ISMP does not manufacture medications. Its role is centered on safety advocacy, research, and education rather than pharmaceutical production.
C. By providing direct patient care: ISMP does not deliver hands-on patient care. Instead, it supports clinicians and organizations by promoting safer systems and practices related to medication use.
D. By enforcing legal regulations: ISMP is not a regulatory or enforcement body. While its recommendations influence policy and practice, it does not have legal authority to enforce medication safety regulations.
Correct Answer is C
Explanation
A. Use fractions instead of decimals: Fractions can be confusing and prone to misinterpretation, increasing the risk of medication errors rather than minimizing them.
B. Write the unit abbreviation before the amount: Standard practice is to write the numeric amount first, followed by the unit (e.g., 5 mL), to avoid confusion and ensure clarity.
C. Avoid using trailing zeros after decimal points: Trailing zeros (e.g., 5.0 mg) can lead to tenfold dosing errors if misread. Omitting unnecessary zeros (e.g., 5 mg) enhances accuracy and reduces the risk of medication errors.
D. Always use Roman numerals for clarity: Roman numerals are not used in medication dosing because they are easily misinterpreted and do not improve clarity; they can increase the risk of errors.
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