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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Acetaminophen is metabolized by the liver and can cause liver damage when taken in large doses or for a prolonged period of time.
Someone with an alcohol use disorder may already have a compromised liver, and combining acetaminophen with more alcohol can worsen the risk of irreparable damage.
Choice A is wrong because Hypothyroidism, is not a contraindication for acetaminophen use.
Choice C is wrong because Recurrent headaches, is not a contraindication for acetaminophen use.
Choice D is wrong because BP 92/60 mm Hg, is not a contraindication for acetaminophen use.
Correct Answer is C
Explanation
First, convert the client’s weight from pounds to kilograms: 121 lb /.2 = 55 kg. Then, calculate the dose in mg: 1 mg/kg * 55 kg = 55 mg.
Finally, use the ratio of available enoxaparin to calculate the volume to administer: (55 mg / 60 mg) * 0.6 mL = 0.55 mL.
Rounded to the nearest tenth, this is 0.6 mL.
Choice A is wrong because it is less than the calculated dose of 0.6 mL.
Choice B is wrong because it is equal to the calculated dose of 0.6 mL but not rounded to the nearest tenth.
Choice D is wrong because it is greater than the calculated dose of 0.6 mL.
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