A nurse is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?

Perform the reconciliation only at admission and discharge.

Compare only the prescribed home medications to the new prescriptions.

Delete new prescriptions that may interact with home medications.

Consider the risk for medication interactions.

Answer and Explanation

The Correct Answer is D

A. Perform the reconciliation only at admission and discharge: Medication reconciliation should be performed at all stages of care. It should also be done during transfers between units and at any point where medication changes occur to ensure accuracy and prevent errors.

B. Compare only the prescribed home medications to the new prescriptions: Medication reconciliation requires comparing home medications and any newly prescribed medications. This includes reviewing all medications to identify discrepancies and ensure safety.

C. Delete new prescriptions that may interact with home medications: The nurse should not delete prescriptions. Instead, they should identify potential drug interactions, assess the risks, and notify the healthcare provider to discuss alternatives or adjustments as needed.

D. Consider the risk for medication interactions: The nurse should evaluate the potential for drug interactions by comparing home medications with new prescriptions. This helps to ensure the safety and effectiveness of the client's medication regimen.

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Free Nursing Study Resources

Correct Answer is ["A","D","E","F"]

Explanation

Rationale for Correct Answers

How to check blood glucose at home: The client has hyperglycemia and may have undiagnosed diabetes. Teaching self-monitoring of blood glucose is essential for ongoing glycemic control, treatment adjustments, and early detection of dangerous fluctuations.
Manifestations of hyperglycemia and hypoglycaemia: The client is already showing signs of hyperglycemia (polyuria, weight loss, fatigue). Understanding the symptoms of both high and low blood sugar helps prevent complications and allows timely self-intervention.
Perform 100 min of physical activity per week: Moderate physical activity helps improve insulin sensitivity and blood glucose regulation. While 150 min/week is ideal, 100 min is a beneficial starting point for clients new to exercise or with complications like foot ulcers.
Weight loss tips: The client has a BMI of 27, which falls into the overweight category. Weight loss is often beneficial for improving blood glucose control in individuals with type 2 diabetes and reducing overall health risks.

Rationale for Incorrect Answers

Instructions on how to take metoprolol: There is no indication in the data that the client has hypertension, arrhythmia, or another condition that warrants beta-blocker therapy. Teaching this would be irrelevant unless metoprolol is newly prescribed.
Check feet weekly on the same day each week: Clients with diabetes or suspected diabetes should be taught to inspect their feet daily, not weekly. Delayed detection of wounds or infection can lead to severe complications, including amputation.

A. Excessive intake of bicarbonate B. Acute respiratory distress syndrome C. Hyperventilation D. Kyphosis

Correct Answer is C

Explanation

A. Excessive intake of bicarbonate: Excessive intake of bicarbonate would more lead to metabolic alkalosis, not respiratory alkalosis. Respiratory alkalosis is caused by excessive exhalation of carbon dioxide, not by intake of bicarbonate.

B. Acute respiratory distress syndrome (ARDS): ARDS generally leads to respiratory acidosis due to impaired gas exchange and retention of carbon dioxide, not respiratory alkalosis.

C. Hyperventilation: Hyperventilation is the most common cause of respiratory alkalosis. It leads to excessive exhalation of carbon dioxide, causing a decrease in blood carbon dioxide levels and an increase in blood pH.

D. Kyphosis: Kyphosis, a spinal deformity, could affect lung expansion but is not a direct cause of respiratory alkalosis. It might lead to other respiratory issues, but it does not primarily increase the risk of alkalosis.

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A nurse is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","D","E","F"]

Explanation

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Correct Answer is C

Explanation

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