A nurse is conducting a class on medication reconciliation. What information should the nurse include in the teaching?

Provide a list of the client’s current medications during the change of shift report.

Do not include over-the-counter medications in the medication reconciliation report.

Do not perform reconciliation for a client at discharge from a health care facility.

Provide a list of the client’s current medications during admission to a health care facility.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Providing a list of the client’s current medications during the change of shift report is not a part of medication reconciliation. While it is important to communicate about a patient’s medications during shift changes, medication reconciliation is a more comprehensive process that involves comparing the medications a patient is taking with newly ordered medications.

Choice B rationale

Over-the-counter medications should be included in the medication reconciliation report. Over-the-counter medications can interact with prescription medications and affect a patient’s health, so it’s important to include them in medication reconciliation.

Choice C rationale

Medication reconciliation should be performed for a client at discharge from a health care facility. This is a critical step in ensuring the patient continues to take the correct medications at home.

Choice D rationale

Providing a list of the client’s current medications during admission to a health care facility is a part of medication reconciliation. This helps to ensure that the patient’s medications are correctly managed during their stay in the facility.

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Correct Answer is D

Explanation

Choice A rationale

Lidocaine does not primarily serve to relieve pain when administered intravenously. It is primarily used as an antiarrhythmic agent.

Choice B rationale

Lidocaine does not slow intestinal motility. This is not one of its primary actions.

Choice C rationale

Lidocaine does not dissolve blood clots. It is not an anticoagulant.

Choice D rationale

Lidocaine prevents dysrhythmias. It is an antidysrhythmic medication that delays the conduction in the heart and reduces the automaticity of heart tissue.

A. Two nurses lift the patient under the shoulders. B. One nurse lifts while the patient pushes with his feet. C. Two nurses use a device to reduce friction. D. One nurse lifts the patient’s legs as the patient uses a trapeze bar.

Correct Answer is C

Explanation

Choice A rationale

Lifting a patient under the shoulders by two nurses can be strenuous and may not provide adequate support for a patient who can only partially assist.

Choice B rationale

While this method may work for some patients, it relies heavily on the patient’s strength and ability to push with their feet. If the patient is weak or unable to exert enough force, this method could be unsafe.

Choice C rationale

Using a device to reduce friction is the most appropriate technique when shifting a patient who can only partially assist. Devices such as slide sheets or transfer boards can help move the patient smoothly and with less physical strain on the healthcare provider.

Choice D rationale

Lifting the patient’s legs while the patient uses a trapeze bar requires significant upper body strength from the patient and may not be feasible for all patients.

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A nurse is conducting a class on medication reconciliation. What information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a coronary care unit is admitting a patient who has had CPR following a cardiac arrest. The patient is receiving lidocaine IV at 2 mg/min.When the patient asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?

Correct Answer is D

Explanation

A nurse is planning to shift a patient who can only partially assist in bed. Which technique should the nurse consider using?

Correct Answer is C

Explanation

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