A nurse is completing a medication reconciliation for a client prior to his transfer to a long-term care facility. Which of the following actions should the nurse take?
Omit over-the-counter medications from the at-home medication list.
Include medications the client received in the acute setting but will no longer need after transfer.
Compare the current list of medications to medications the client will receive after transfer
Remove duplicate medications of different dosages from the reconciliation list
The Correct Answer is D
A. Omit over-the-counter medications from the at-home medication list:
Over-the-counter medications should be included in the medication reconciliation process to provide a comprehensive overview of all medications the client is taking. These can have interactions or implications for the client's overall health.
B. Include medications the client received in the acute setting but will no longer need after transfer:
Medications that the client will no longer need after transfer should be excluded from the reconciliation list to avoid confusion and unnecessary continuation of those medications.
C. Compare the current list of medications to medications the client will receive after transfer:
This is part of the medication reconciliation process. It is important to ensure continuity of care by comparing the current list of medications with the medications the client will receive after transfer. Any discrepancies or changes should be addressed.
D. Remove duplicate medications of different dosages from the reconciliation list:
This is the correct answer. Duplicate medications with different dosages can lead to confusion and errors. The reconciliation process involves identifying and resolving discrepancies, including duplicates, to ensure accuracy and safety in medication administration
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.PT (Prothrombin Time) 11 seconds: The prothrombin time measures the extrinsic pathway of the coagulation cascade. A PT of 11 seconds is within the normal range, and it indicates that the extrinsic clotting pathway is functioning appropriately. There is no need to report this value.
B. APTT (Activated Partial Thromboplastin Time) 50 seconds: The APTT measures the intrinsic pathway of the coagulation cascade. A value of 50 seconds is prolonged and may suggest that the client is receiving an effective anticoagulant dose. However, the APTT target range can vary based on the specific therapeutic goal and the heparin protocol in use. It's essential to follow the healthcare provider's guidance on the target APTT range.
C. Hematocrit 456: The normal range for hematocrit is usually expressed as a percentage. A value of 456 is outside the normal range and likely represents an error or a misinterpretation. The nurse should verify this value, as an extremely high hematocrit could be indicative of an issue such as dehydration or an analytical error.
D. Platelets 300,000/mm²: A platelet count of 300,000/mm² is within the normal range. There is no need to report this value as it suggests a normal platelet count.
Correct Answer is D
Explanation
A. Dark amber urine:
Dark amber urine is not typically an adverse effect of receiving 0.9% sodium chloride solution. It may be a sign of concentrated urine, dehydration, or the presence of certain substances, but it is not a direct adverse effect of the solution itself.
B. Decreased skin turgor:
Decreased skin turgor is a clinical manifestation of dehydration and is not an adverse effect of 0.9% sodium chloride solution. The solution is administered to address dehydration and restore fluid balance.
C. Increased bowel sounds:
Increased bowel sounds are not an adverse effect of 0.9% sodium chloride solution. Bowel sounds are influenced by various factors, including the presence of gas and peristalsis, but they are not directly related to the administration of this isotonic solution.
D. Pink, frothy sputum:
This is the correct answer. Pink, frothy sputum is a potential sign of pulmonary edema, which can be associated with fluid overload. Administering 0.9% sodium chloride solution too rapidly or in excessive amounts can lead to fluid overload and pulmonary edema.
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