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

Explanation

A) Correct. The client should use an electric razor when shaving to reduce the risk of bleeding from minor cuts or nicks. Warfarin is an anticoagulant that inhibits blood clotting and increases the bleeding time.

B) Incorrect. The client should not eat more green leafy vegetables to prevent bleeding. Green leafy vegetables are high in vitamin K, which antagonizes the effect of warfarin and reduces its anticoagulant activity.

C) Incorrect. The client should not take an extra dose if they miss one. Taking an extra dose can cause excessive anticoagulation and increase the risk of bleeding or hemorrhage.

D) Incorrect. The client should not check their blood pressure every day unless instructed by their health care provider. Checking blood pressure every day is not related to warfarin therapy and may cause unnecessary anxiety or confusion.

A. "Store unopened insulin vials in the freezer." B. "Rotate injection sites within the same anatomical region." C. "Mix short-acting and long-acting insulins in the same syringe." D. "Draw up regular insulin before NPH insulin when mixing them."

Correct Answer is D

Explanation

A) Incorrect. The nurse should instruct the client to store unopened insulin vials in the refrigerator, not in the freezer. Freezing can damage the insulin and make it ineffective.

B) Correct. The nurse should instruct the client to rotate injection sites within the same anatomical region, such as the abdomen, thighs, arms, or buttocks. Rotating injection sites can prevent lipodystrophy, which is a disorder of fat metabolism that causes hypertrophy or atrophy of subcutaneous tissue.

C) Incorrect. The nurse should instruct the client not to mix short-acting and long-acting insulins in the same syringe. Mixing different types of insulins can alter their onset, peak, and duration of action and affect blood glucose control.

D) Correct. The nurse should instruct the client to draw up regular insulin before NPH insulin when mixing them in the same syringe. This can prevent contamination of the regular insulin vial with NPH insulin, which can affect its potency and clarity.

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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

A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is teaching a client who has diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

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.)