A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching?
Do not include over-the-counter medications in the medication reconciliation report.
Provide a list of the client's current medications during admission to a health care facility.
Do not perform reconciliation for a client at discharge from a health care facility.
Provide a list of the client's current medications during the change of shift report.
Correct Answer : B,D
The nurse should include the following information in the teaching about medication reconciliation:
● Provide a list of the client's current medications during admission to a healthcare facility.
● Provide a list of the client's current medications during the change of shift report.
Medication reconciliation is a critical process that involves comparing the medications a patient is currently taking with the medications ordered or intended to be prescribed. It helps ensure accurate and safe medication management during transitions of care. The nurse should emphasize the importance of providing a list of the client's current medications during admission to a healthcare facility. This information helps establish a baseline for the patient's medication regimen and allows healthcare providers to verify and reconcile the medications accurately.
Additionally, the nurse should instruct the class to provide a list of the client's current medications during the change of shift report. This allows for effective communication between healthcare providers, ensuring continuity of care and preventing medication errors or omissions.
While not specifically mentioned in the options, it is important to note that medication reconciliation should be performed at various points, including during the discharge process from a healthcare facility. Discharge medication reconciliation helps ensure a smooth transition to home or another healthcare setting, reduces the risk of medication-related issues, and promotes patient safety and adherence to the prescribed medication regimen.
Regarding over-the-counter medications, it is crucial to include them in the medication reconciliation process. Over-the-counter medications can interact with prescription medications and have potential side effects. Including them in the reconciliation report helps identify any potential interactions or duplications and ensures comprehensive medication management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Robitussin A-C contains codeine, which is an opioid antitussive that can have sedating effects. One of the major disadvantages of using this medication is the potential for drowsiness as a side effect. This can impair the client's ability to perform tasks that require alertness and can interfere with daily activities.
The other options listed are not the major disadvantage of antitussive therapy with Robitussin A-C:
The medication is irritating to the bronchial tree: Robitussin A-C is primarily used as an antitussive (cough suppressant) rather than for its effects on the bronchial tree. While it may have some mild irritant properties due to certain ingredients, it is not considered a major disadvantage of this medication.
The client may use the medication for 14 days: The duration of use for Robitussin A-C is typically determined by the healthcare provider based on the client's condition. While prolonged use of antitussives is generally not recommended without medical supervision, the duration of use is not considered the major disadvantage of this medication.
The medication is very expensive: The cost of medication can vary, and while cost may be a consideration for some individuals, it is not considered the major disadvantage of Robitussin
A-C specifically. The major disadvantage relates more to the potential for drowsiness caused by the medication.
Correct Answer is D
Explanation
Montelukast is typically prescribed as a once-daily medication for the treatment of asthma. Taking it in the evening can be beneficial as it helps to control asthma symptoms throughout the day and night. It is important to follow the prescribed dosing schedule provided by the healthcare provider.
The other statements mentioned are incorrect:
A. "I'll rinse my mouth after taking this medication": Rinsing the mouth after taking montelukast is not necessary as it is not an inhaled medication. Rinsing the mouth is typically recommended after using inhaled corticosteroids to reduce the risk of oral thrush.
B. "I'll take this medication when I get an asthma attack": Montelukast is a long-term control medication used to prevent asthma attacks and manage chronic asthma symptoms. It is not intended for immediate relief during an asthma attack.
C. "I use a spacer device when I inhale this medication": Montelukast is not an inhaled medication, so the use of a spacer device is not applicable. Spacer devices are commonly used with inhaled medications to improve the delivery of the medication to the lungs.
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