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.
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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Related Questions
Correct Answer is C
Explanation
A. Report the fire details to the facility emergency extension:
While reporting the fire details is important, activating the fire alarm takes precedence. The alarm initiates a quicker and broader response to the emergency.
B. Close the door to the client's room:
Closing the door may be a subsequent action to contain smoke and fire, but it is not the immediate priority. Activating the fire alarm ensures a faster response and is crucial for alerting others.
C. Activate the fire alarm.
Activating the fire alarm is the most immediate action to take in the event of a fire. The fire alarm alerts others in the facility, including staff and emergency services, about the potential danger. This rapid notification initiates the emergency response, ensuring a quick and coordinated effort to address the fire situation and safeguard everyone in the vicinity.
D. Turn off electrical equipment:
Turning off electrical equipment is a valid action to prevent further hazards, but it is not the immediate priority. Activating the fire alarm comes first to ensure the safety of everyone in the facility.
Correct Answer is A
Explanation
A. Engage the client in a repetitive activity as a distraction:
This is the correct answer. Redirecting the client's focus to a repetitive and calming activity can help distract them from the source of agitation and potentially de-escalate the situation.
B. Place the client in a seclusion room:
Seclusion should only be used in situations where it is absolutely necessary for the safety of the client or others. Placing a client with dementia in seclusion is not the first choice and should be avoided if possible.
C. Apply wrist restraints to the client:
Restraints should be a last resort and used only when there is an imminent risk of harm to the client or others. Restraints can escalate agitation and should not be the initial response.
D. Administer PRN haloperidol IM to the client:
The use of medication should be considered later in the escalation process and after other non-pharmacological interventions have been attempted. It is not the first intervention, especially when there are non-pharmacological options available.
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