A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?

Document the updated list and send it to the pharmacy.

Compile a list of all medications the client is currently taking

Compare preadmission medications to current medications.

Address any discrepancies between current medications and new prescriptions.

Answer and Explanation

The Correct Answer is B

A. “Document the updated list and send it to the pharmacy”: While this is an important step in the medication reconciliation process, it is not the first step. The nurse must first have a complete and accurate list of all the medications the client is currently taking.

B. “Compile a list of all medications the client is currently taking”: This is the first step in the medication reconciliation process. The nurse needs to know all the medications the client is currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and any other substances. This list should include the name of each medication, the dose, the frequency, and the route of administration.

C. “Compare preadmission medications to current medications”: This is an important step in the medication reconciliation process, but it cannot be done until after the nurse has compiled a list of all medications the client is currently taking.

D. “Address any discrepancies between current medications and new prescriptions”: Addressing discrepancies is a crucial part of the medication reconciliation process, but it is not the first step. The nurse must first compile a list of all medications the client is currently taking, then compare this list to the client’s preadmission medications and any new prescriptions.

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Correct Answer is A

Explanation

A. “The client will wear his reading glasses when drawing up a dose of insulin glargine”: This is an appropriate outcome. Ensuring correct dosage is crucial when administering insulin, and using reading glasses can help prevent errors, especially in older adults who may have vision impairment.

B. “The client will take an additional dose of insulin glargine prior to exercise”: This is not recommended. Insulin glargine is a long-acting insulin and its dose should not be adjusted based on exercise. Exercise can lower blood glucose levels, and taking an additional dose of insulin might lead to hypoglycemia.

C. “The client will administer insulin glargine before each meal”: Insulin glargine is a long-acting insulin that is typically administered once daily, not before each meal. Short-acting insulins are usually taken before meals.

D. “The client will use the deltoid muscle as an injection site”: Insulin is typically injected into subcutaneous tissue, not muscle. Common injection sites include the abdomen, thighs, buttocks, and the back of the upper arms. The deltoid muscle is not a typical injection site for insulin.

A. Monitor the client's oxygen saturation. B. Check the client's urinary output. C. Monitor the client for seizure activity. D. Auscultate the client's bowel sounds.

Correct Answer is A

Explanation

A) Monitor the client's oxygen saturation:
Monitoring the client's oxygen saturation is essential during moderate sedation with diazepam to assess respiratory status and detect any signs of respiratory depression, which can be an adverse reaction to the medication. Decreased oxygen saturation can indicate hypoventilation, a potential complication of sedative medications like diazepam.

B) Check the client's urinary output:
While monitoring urinary output is important for assessing renal function, it is not directly related to adverse reactions to diazepam or moderate sedation.

C) Monitor the client for seizure activity:
Seizure activity is a potential adverse reaction to diazepam, particularly if the client has a history of seizures or epilepsy. However, during moderate sedation, the focus is on assessing respiratory status and sedation depth rather than monitoring for seizure activity.

D) Auscultate the client's bowel sounds:
Auscultating bowel sounds is not directly related to assessing adverse reactions to diazepam or moderate sedation. It is more pertinent in assessing gastrointestinal function, which may be affected by other factors but is not typically a primary concern during moderate sedation

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A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?

Correct Answer is A

Explanation

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