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

Answer and Explanation

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 C

Explanation

A. "Client assisted OOB, instructed to splint ABD" is clear and uses standard abbreviations (OOB: out of bed, ABD: abdomen).
B. "Urine collected for UA and C & S" is clear and uses standard abbreviations (UA: urinalysis, C & S: culture and sensitivity).
C. "Prescription received for MSO4 4.0 mg PRN pain" is problematic because "MSO4" is an ambiguous abbreviation that can be confused with other medications. It should be written as "morphine sulfate" for clarity. Additionally, the trailing zero in "4.0 mg" can lead to dosing errors; it should be written as "4 mg."
D. "12 units of regular insulin administered subcut" is clear and uses standard terminology (subcut: subcutaneous).

A. Half-life B. Peak C. Trough D. Тохіс

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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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?

Nursing Test Bank

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