A nurse is preparing to teach a client about medication reconciliation. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

"Medication reconciliation is a process that helps prevent medication errors."

"Medication reconciliation involves comparing your current medications with your previous ones."

"Medication reconciliation should be done at every transition of care."

"Medication reconciliation requires you to keep an updated list of all your medications."

"Medication reconciliation allows you to adjust your medication doses as needed."

Answer and Explanation

Correct Answer : A,B,C,D

A) Correct. Medication reconciliation is a process that helps prevent medication errors by ensuring that the client receives the correct medications at the correct doses and times.

B) Correct. Medication reconciliation involves comparing the client's current medications with their previous ones to identify any discrepancies or changes.

C) Correct. Medication reconciliation should be done at every transition of care, such as admission, transfer, or discharge, to ensure continuity and safety of medication therapy.

D) Correct. Medication reconciliation requires the client to keep an updated list of all their medications, including prescription, over-the-counter, herbal, and dietary supplements, and to share it with their health care providers.

E) Incorrect. Medication reconciliation does not allow the client to adjust their medication doses as needed. The client should always follow the prescribed instructions and consult their health care provider before making any changes.

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Correct Answer is ["A","B","C"]

Explanation

A) Correct. The nurse should discontinue the IV line and start a new one in another site. The IV site is showing signs of phlebitis, which is inflammation of the vein caused by mechanical, chemical, or bacterial irritation. Phlebitis can lead to complications such as thrombophlebitis, infection, or extravasation.

B) Correct. The nurse should apply a warm compress to the IV site to promote vasodilation and blood flow, which can help reduce inflammation and pain.

C) Correct. The nurse should elevate the affected extremity on a pillow to facilitate venous return and decrease edema.

D) Incorrect. The nurse should not administer an antihistamine to the client unless prescribed by the health care provider. Antihistamines are used to treat allergic reactions, not phlebitis.

E) Incorrect. The nurse should not flush the IV line with normal saline. Flushing the IV line can worsen the inflammation and increase the risk of infection or thrombus formation.

A. Instruct the client to stop taking both medications immediately. B. Assess the client for signs of gastrointestinal bleeding. C. Document the finding in the client's medical record. D. Notify the client's primary care provider.

Correct Answer is B

Explanation

A) Incorrect. The nurse should not instruct the client to stop taking both medications immediately without consulting the client's primary care provider. Abruptly discontinuing some medications can cause adverse effects or withdrawal symptoms.

B) Correct. The nurse should assess the client for signs of gastrointestinal bleeding, such as abdominal pain, black or tarry stools, or coffee-ground emesis. Ibuprofen and naproxen are both nonsteroidal anti-inflammatory drugs (NSAIDs) that can increase the risk of gastrointestinal bleeding when taken together or for a long time.

C) Incorrect. The nurse should document the finding in the client's medical record after assessing the client and notifying the primary care provider. Documentation is an important but not a priority action in this situation.

D) Incorrect. The nurse should notify the client's primary care provider after assessing the client for signs of gastrointestinal bleeding. The primary care provider may need to adjust or change the client's medication regimen to prevent further complications.

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A nurse is preparing to teach a client about medication reconciliation. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C"]

Explanation

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Correct Answer is B

Explanation

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A nurse is preparing to teach a client about medication reconciliation. Which of the following statements should the nurse include in the teaching? (Select all that apply.)