A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care (LTC) facility. Which of the following should the nurse identify as part of the medication reconciliation process?
Medications from the LTC facility
Recommendation for prescribed medications
Discontinuation of medications
Medications for another pharmacy
The Correct Answer is A
A. Medication reconciliation involves compiling a complete list of a patient's medications from all sources, including those from the LTC facility, to ensure continuity and accuracy of care.
B. Recommendations for prescribed medications are part of ongoing treatment planning, not specifically the reconciliation process.
C. Discontinuation of medications may occur after reconciliation but is not a primary step in the process.
D. Medications from another pharmacy should be included, but the nurse must focus on all current medications, primarily from the LTC facility for accurate reconciliation.
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Related Questions
Correct Answer is C
Explanation
A. While itching and hives can be signs of a mild allergic reaction, difficulty breathing and low blood pressure indicate a more severe issue. Treating a severe reaction as mild can delay necessary emergency interventions, potentially leading to life-threatening consequences.
B. The symptoms described, including difficulty breathing and hypotension, suggest a severe, not moderate, allergic reaction. This misjudgment can result in insufficient treatment and delay life-saving measures.
C. Anaphylactic reactions are characterized by symptoms such as hives, difficulty breathing, and low blood pressure, requiring immediate emergency treatment. Prompt recognition and intervention are critical to prevent severe complications or death.
D. Food poisoning typically presents with gastrointestinal symptoms rather than respiratory distress and hypotension. Misdiagnosing an anaphylactic reaction as food poisoning can prevent timely administration of appropriate treatments like epinephrine.
Correct Answer is C
Explanation
A. Half-life refers to the time it takes for the concentration of the medication in the bloodstream to decrease by half, not the lowest serum concentration.
B. Peak refers to the highest concentration of the medication in the bloodstream after administration.
C. Trough is the lowest concentration of medication in the bloodstream, typically measured just before the next dose is due to ensure adequate drug levels.
D. Toxic level refers to a concentration at which the medication may cause adverse effects, not the lowest serum concentration.
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