A nurse educator is teaching a class about medication reconciliation. Which of the following information should the nurse educator include in the teaching?
Provide a list of the client’s current medications during the change of shift report.
Do not perform reconciliation for a client at discharge from a health care facility.
Provide a list of the client’s current medications during admission to a health care facility.
Include only prescription medications in the medication reconciliation report.
The Correct Answer is C
Choice A reason:
Providing a list of the client’s current medications during the change of shift report is important for continuity of care, but it is not the primary focus of medication reconciliation. Medication reconciliation aims to ensure accuracy of the medication list at key transition points, such as admission, transfer, and discharge.
Choice B reason:
Not performing reconciliation for a client at discharge from a health care facility is incorrect. Medication reconciliation is crucial at discharge to ensure that the patient leaves with an accurate and complete list of medications, which helps prevent medication errors and adverse drug events.
Choice C reason:
Providing a list of the client’s current medications during admission to a health care facility is a key component of medication reconciliation. This process involves comparing the patient’s current medications with the new medications ordered upon admission to identify and resolve any discrepancies. This helps ensure that the patient receives the correct medications throughout their stay.
Choice D reason:
Including only prescription medications in the medication reconciliation report is insufficient. The reconciliation process should include all medications the patient is taking, including over-the-counter drugs, supplements, and herbal remedies. This comprehensive approach helps identify potential interactions and ensures safe medication management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Client reports knee pain changed from 4/10 to 6/10 is an important finding, but it is not as critical as a significant drop in blood pressure. Pain levels can fluctuate postoperatively, and while increased pain should be addressed, it does not typically require immediate notification of the provider unless it is severe or unmanageable.
Choice B reason: Pulse oximetry changed from 98% to 96% is a minor change and still within normal limits. A pulse oximetry reading of 96% is generally acceptable and does not indicate a critical issue that requires immediate provider notification.
Choice C reason: Temperature changed from 37.2°C (99.0°F) to 37.5°C (99.5°F) is a slight increase and still within the normal range. Postoperative patients can experience minor fluctuations in temperature, and this change does not typically indicate a serious problem.
Choice D reason: Systolic blood pressure changed from 140 mm Hg to 110 mm Hg is a significant drop and could indicate hypotension, which can be a serious complication, especially in an older adult post-surgery. Hypotension can result from various causes, including blood loss, dehydration, or effects of anesthesia, and requires prompt assessment and intervention.
Correct Answer is B
Explanation
Choice A reason: Discussing the visitation policy is important for the client’s overall hospital experience but does not directly relate to the prevention of postoperative complications. Visitation policies help manage the flow of visitors and ensure the client gets adequate rest, but they do not address specific postoperative risks.
Choice B reason: Instructing the client about the use of a sequential compression device is crucial for preventing deep vein thrombosis (DVT) and pulmonary embolism, which are common postoperative complications. Sequential compression devices (SCDs) help improve blood circulation in the legs, reducing the risk of blood clots forming during periods of immobility after surgery.
Choice C reason: Teaching the client how to use the PCA pump (patient-controlled analgesia) is important for pain management but does not directly prevent postoperative complications. Proper pain management can aid in recovery by allowing the client to move and breathe more effectively, but it is not a primary preventive measure for complications like DVT or infections.
Choice D reason: Reviewing the pain scale helps the client communicate their pain levels effectively, which is important for managing postoperative pain. However, like the PCA pump, it does not directly prevent complications. Effective pain management can contribute to overall recovery but is not a standalone preventive measure.
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