A nurse is instructing a patient who has just been prescribed bumetanide. What should the nurse include in the instructions?

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.

The nurse should first: C. Administer additional morphine for pain management, followed by B. Reposition the client for comfort.

The client is reporting a pain level of 6 on a scale from 0 to 10, which indicates moderate to severe pain. As per the medication administration record, the client has an order for Morphine 4 mg IV bolus every 6 hours PRN for pain. Since the client is in pain, it would be appropriate to administer the morphine first to manage the pain.

After addressing the client’s pain, the nurse should then reposition the client for comfort. This can help to alleviate any discomfort or pressure points that may be contributing to the client’s pain. It’s also important to ensure the client’s safety and comfort by making sure the call light is within reach.

The options related to restraints (A and D for Response 1, and A, B, C, D for Response 2) are not relevant in this scenario as there is no indication in the provided information that the client is being restrained or that restraints are necessary. The client is drowsy but arouses easily to verbal stimuli and is able to follow simple commands, suggesting that they are not at risk of harming themselves or others, which would necessitate the use of restraints. Therefore, these options can be ruled out.