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

Answer and Explanation

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

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Correct Answer is D

Explanation

A. Obtain a prescription for an alternative antibiotic:
Clindamycin is generally safe for penicillin-allergic clients there is no need for an alternative antibiotic.
B. Administer the clindamycin using a desensitization schedule:
Using a desensitization schedule is a specialized procedure typically reserved for certain situations and performed in a controlled environment. It is not a standard approach for administering antibiotics, and in this case, obtaining an alternative antibiotic is a more appropriate and straightforward solution.
C. Premedicate the client with epinephrine before administering the antibiotic:
Premedicating with epinephrine is not a routine practice for preventing allergic reactions to antibiotics. While epinephrine may be used in severe allergic reactions, it's not a preemptive measure in this context. It's important to address the underlying issue by avoiding the allergen (penicillin class) and using an alternative antibiotic.
D. Give the client the prescribed dose of the clindamycin:
Clindamycin is generally safe for penicillin-allergic clients since it belongs to the lincosamide class and does not share the beta-lactam ring structure responsible for allergic reactions to penicillins.

A. "I should take this medication with 8 ounces of milk." B. I should take an antacid with this medication to prevent stomach upset." C. "I should notify my provider if my stools turn black" D. I should stay upright for at least 15 minutes after taking this medication

Correct Answer is C

Explanation

A. "I should take this medication with 8 ounces of milk." This statement is incorrect. Calcium-containing substances, such as milk, can interfere with the absorption of iron. It's generally recommended to take iron supplements on an empty stomach or with vitamin C-containing foods to enhance absorption.
B. "I should take an antacid with this medication to prevent stomach upset." This statement is also incorrect. Antacids can reduce the absorption of iron. It's advisable to take iron supplements separately from antacids to optimize absorption.
C. "I should notify my provider if my stools turn black." (Correct Answer) This statement is correct. Iron supplements can cause stools to appear black or dark green. This is a common and harmless side effect related to the change in the color of iron in the gastrointestinal tract. However, it's important for the client to notify the healthcare provider to rule out any potential bleeding issues.
D. "I should stay upright for at least 15 minutes after taking this medication." This statement is not specific to ferrous gluconate. However, it may be relevant for medications that can cause esophageal irritation or reflux. In the case of ferrous gluconate, the primary concern is optimizing absorption by taking it on an empty stomach or with vitamin C-containing foods.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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