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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Correct Answer is B
Explanation
Leaving medication at the client's bedside is unsafe as it can lead to medication errors, missed doses, or accidental ingestion.
B. Coming back in a few minutes to administer the medication respects the client’s therapy schedule and ensures the nurse can directly observe the client taking the medication, ensuring proper administration and adherence.
C. Preparing the medication in the medication room ahead of time can be efficient but doesn’t address the need to personally administer the medication and confirm the client takes it.
D. Documenting the medication was given without actually administering it is unethical and against best practices as it assumes the client will take the medication without verification.
Correct Answer is A
Explanation
A. Planning involves setting goals and desired outcomes for the client's care.
B. Data collection, or assessment, involves gathering information about the client’s health status.
C. Evaluation involves determining if the goals have been met.
D. Implementation involves carrying out the interventions to achieve the goals.
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