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A nurse is admitting a client to a medical-surgical unit.

When performing medication reconciliation for the client, which of the following actions should the nurse take?

A.

A. Compare new prescriptions with the list of medications the client reports

B.

B. Encourage the client to make his own list after he returns to his home

C.

Include any adverse effects of the medications the client might develop

D.

Exclude nutritional supplements from the list of medications the client reports

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. The nurse should compare new prescriptions with the list of medications the client reports. This is part of the medication reconciliation process, which is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions. It should be done at every transition of care in which new medications are ordered or existing orders are rewritten.

Choice B is wrong because the nurse should not encourage the client to make his own list after he returns to his home. The nurse should provide the client with an updated and accurate list of medications before discharge and instruct the client to keep it with him at all times.

Choice C is wrong because the nurse should not include any adverse effects of the medications the client might develop. The nurse should include any known allergies or adverse reactions the client has experienced in the past, but not potential adverse effects that have not occurred.

Choice D is wrong because the nurse should not exclude nutritional supplements from the list of medications the client reports. The nurse should include all prescription medications, herbals, vitamins, nutritional supplements, over-the-counter drugs, vaccines, diagnostic and contrast agents, radioactive medications, parenteral nutrition, blood derivatives, and intravenous solutions in the medication reconciliation process.

Some of these products may interact with prescribed medications or affect laboratory results.


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Related Questions

Correct Answer is B

Explanation

The correct answer is b. Remove the device from the room.

Choice A rationale:

  • Reporting the defect to the equipment maintenance staff is essential,but it's not the immediate priority.The primary concern is to eliminate the safety hazard posed by the frayed cord to prevent potential harm to the client and others.
  • Delaying the removal of the device could lead to electrical shock,fire,or other serious consequences.
  • Therefore,removing the device from the room takes precedence over reporting the defect.

Choice B rationale:

  • Removing the device from the room is the most appropriate first action because it:
    • Eliminates the immediate safety hazard.
    • Prevents potential harm to the client and others.
    • Protects the device from further damage.
    • Ensures the safety of the environment.
    • Demonstrates the nurse's prioritization of patient safety.

Choice C rationale:

  • Initiating a requisition for a replacement CPM device is necessary to ensure the client's continued treatment.
  • However,it's not the first action because it doesn't address the immediate safety concern.
  • The nurse should first remove the faulty device and then initiate the process for obtaining a replacement.

Choice D rationale:

  • Ensuring the device inspection sticker is current is a vital part of equipment maintenance.
  • However,it's not relevant to the immediate safety issue of the frayed cord.
  • The presence of a current inspection sticker doesn't guarantee the device's safety or functionality at that moment.
  • The nurse must prioritize removing the hazard and then follow up with appropriate documentation and reporting.

Correct Answer is C

Explanation

The correct answer is choice C. Administering potassium via IV bolus is an example of malpractice in nursing.

This is because potassium is a medication that can cause cardiac arrest if given too quickly or in high doses. A nurse who administers potassium via IV bolus is not providing the standard of care that a similarly trained nurse would have offered under the same circumstances.

This could result in harm or death to the patient.

Choice A is wrong because placing a yellow bracelet on a client who is at risk for falls is not malpractice, but rather a safety measure.

A yellow bracelet indicates that the client needs assistance with mobility and should not be left alone. This is a common practice in many health care facilities to prevent falls and injuries.

Choice B is wrong because leaving a nasogastric tube clamped after administering oral medication is not malpractice, but rather a mistake.

A nasogastric tube is a tube that goes through the nose and into the stomach to deliver nutrition or medication.

It should be unclamped after giving oral medication to allow the medication to enter the stomach and prevent reflux or aspiration. However, this error does not rise to the level of malpractice unless it causes harm to the patient, such as vomiting, choking, or infection.

Choice D is wrong because documenting communication with a provider in the progress notes of the client’s medical record is not malpractice, but rather a good practice. A nurse

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