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 B

Explanation

A. Potassium chloride is used to treat potassium deficiency and is not indicated for acute angina attacks.
B. Nitroglycerin is a vasodilator that is commonly used to relieve and prevent acute angina attacks by increasing blood flow to the heart.
C. Furosemide is a diuretic used to treat fluid retention and high blood pressure, not angina.
D. Atenolol is a beta-blocker used to treat high blood pressure and angina but is not typically used for acute attacks.

A. allergic reaction. B. side effect. C. toxic effect. D. idiosyncratic reaction.

Correct Answer is A

Explanation

A. An allergic reaction is an immune response to a medication, even if the patient has taken the medication before without issues. Symptoms like hives and itching are classic signs of an allergic reaction.
B. A side effect is an expected, often mild and predictable reaction to a medication, not typically involving an immune response and severe symptoms like hives.
C. A toxic effect refers to harmful effects from a medication overdose or accumulation in the body, not sudden onset after an appropriate dose.
D. An idiosyncratic reaction is an uncommon response not related to allergies or toxic effects, usually not presenting with hives and itching.

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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

Naxlex Comprehensive Predictor Exams

This medication is most commonly used to treat acute angina attacks:

Correct Answer is B

Explanation

A postoperative patient is undergoing antibiotic therapy. She has never had any problems taking medications in the past. When the nurse hung the second dose of IV antibiotics, the patient suddenly developed hives and itching. The nurse recognized this was most likely a(n):

Correct Answer is A

Explanation

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