A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility.
Which of the following actions should the nurse take?

Review the adverse effects of the medication with the client.

Compare the current and newly prescribed medications and note any discrepancies.

Send a list of the prescribed medications to the client's pharmacy.

Include the medications the client received during surgery on the client's medication list.

Answer and Explanation

The Correct Answer is B

Compare the current and newly prescribed medications and note any discrepancies.

During medication reconciliation, the nurse should compare the client’s current medication orders with the medications that the client has been taking and note any discrepancies.

Choice A is wrong because Reviewing the adverse effects of the medication with the client, is not part of medication reconciliation.

Choice C is wrong because Sending a list of the prescribed medications to the client’s pharmacy, is not part of medication reconciliation.

Choice D is wrong because Including the medications the client received during surgery on the client’s medication list, is not part of medication reconciliation.

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Correct Answer is C

Explanation

The correct answer is C. "I should stay upright for at least 15 minutes after taking this medication."

Choice A rationale:

Black stools are a common side effect of iron supplements and do not usually require notification of the provider unless accompanied by other symptoms such as pain or gastrointestinal bleeding.

Choice B rationale:

Iron supplements should not be taken with milk because calcium can interfere with the absorption of iron, reducing its effectiveness.

Choice C rationale:

Staying upright for at least 15 minutes after taking ferrous gluconate helps prevent the risk of esophageal irritation or discomfort, which indicates the client's correct understanding of this key instruction.

Choice D rationale:

Taking an antacid with ferrous gluconate is not recommended because antacids can interfere with the absorption of iron, reducing its efficacy.

Choice E rationale:

This is the same as Choice D and also incorrect for the same reason regarding the interaction between antacids and iron absorption.

A. The client had chemotherapy 12 hr before the medication was administered. B. The medication vial sat at room temperature for 2 hr before it was administered. C. The client's absolute neutrophil count was 2,500/mm³ before the medication was administered. D. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered.

Correct Answer is A

Explanation

Choice A rationale: Administering filgrastim after chemotherapy is a standard practice to boost white blood cell count. However, filgrastim should not be given within 24 hours before or after chemotherapy, as it can affect the efficacy and increase the risk of side effects. Administering the medication 12 hours after chemotherapy falls within this contraindicated window, necessitating an incident report.

Choice B rationale: Filgrastim can be stored at room temperature for short periods, and 2 hours is generally within acceptable limits for stability.

Choice C rationale: An absolute neutrophil count of 2,500/mm³ is within the normal range, and there is no contraindication for administering filgrastim.

Choice D rationale: Flushing the client's IV line with dextrose 5% in water before and after administering filgrastim is not appropriate, as this medication is typically administered with saline solution. Using an incorrect flushing solution could affect the medication's efficacy or compatibility, necessitating an incident report.

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A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Ferrous Gluconate Client Teaching. 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

A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

Correct Answer is A

Explanation

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A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility.
Which of the following actions should the nurse take?