A nurse is assisting with the development of a nursing staff in-service about medication reconciliation. Which of the following instructions should the nurse recommend to include in the in-service?

Complete medication reconciliation when a client moves to a new room on the same unit.

Medication reconciliation should be completed whenever the nurse administers a medication.

Medication reconciliation can be delegated to an assistive personnel.

Include herbal supplements in the medication reconciliation.

Answer and Explanation

The Correct Answer is D

A. Complete medication reconciliation when a client moves to a new room on the same unit:

While it's important to update the client's information when they change rooms, this may not necessitate a full medication reconciliation. Medication reconciliation is typically more comprehensive and involves a thorough review of the client's entire medication regimen.

B. Medication reconciliation should be completed whenever the nurse administers a medication:

While it's important to verify medications before administration, a full medication reconciliation involves a broader review of the client's entire medication history and should not necessarily be done each time a single medication is administered.

C. Medication reconciliation can be delegated to an assistive personnel:

Medication reconciliation is a complex process that involves a thorough review of the client's medication history, and it is generally considered a nursing responsibility. Delegating this task to assistive personnel may compromise accuracy and completeness.

D. Include herbal supplements in the medication reconciliation:

This is the correct answer. Herbal supplements can interact with prescribed medications and may impact the client's overall health. Including them in the medication reconciliation process ensures a comprehensive assessment of the client's medication regimen.

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Correct Answer is A

Explanation

A. Shake the suspension well before each administration.

The medication label specifically states, "IMPORTANT: SHAKE WELL BEFORE EACH USE," and "THIS PRODUCT MUST BE SHAKEN WELL ESPECIALLY PRIOR TO INITIAL USE." This indicates the necessity of shaking the suspension before administration to ensure proper mixing of the medication.

B. Dilute the suspension with 38 mL water prior to initial use.

There is no indication on the label to dilute the suspension with water. The label emphasizes shaking well before use, but dilution is not mentioned.

C. Store the suspension in the refrigerator.

The storage instructions on the label state, "Store at 20° to 25°C (68° to 77° F) see USP controlled room temperature." Refrigeration is not mentioned, and it is not recommended to deviate from the specified storage conditions.

D. Discard the suspension 14 days after opening the bottle.

The label does not provide specific information about the shelf life after opening. Therefore, it is essential to follow the specific instructions on the label or refer to the package insert for complete prescribing information regarding the expiration or discard date after opening. The information on the label does not specify a 14-day limit.

Correct Answer is ["10"]

Explanation

To calculate the volume (mL) that the nurse should administer, you can use the following formula:

Volume (mL) = Dose (mg)/Concentration (mg/mL)

In this case:

Volume = 500 mg/(250 mg/5 mL)

First, simplify the fraction:

Volume = 500mg/50 mg/mL

Now, determine the volume:

Volume =(500 mg/50 mg/mL)×(1 mL/1mg)

Volume=10mL

Therefore, the nurse should administer 10 mL of amoxicillin oral suspension for the 500 mg PO dose, rounded to the nearest whole number.

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A nurse is assisting with the development of a nursing staff in-service about medication reconciliation. Which of the following instructions should the nurse recommend to include in the in-service?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer phenytoin oral suspension to a client. Which of the following actions should the nurse take? (Refer to the medication label below.

Correct Answer is A

Explanation

A nurse is preparing to administer amoxicillin 500 mg PO to a client. Available is amoxicillin oral suspension 250 mg/5 ml. How many mi should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

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