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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Related Questions
Correct Answer is D
Explanation
Acetylcysteine has a strong and distinct odor, often described as a sulfur-like smell. It is important for the adolescent to be aware of this characteristic odor so that they do not become alarmed or concerned when they encounter it.
The other options mentioned are incorrect:
A. It is necessary to monitor your serum electrolyte levels: Monitoring serum electrolyte levels is not typically required with oral acetylcysteine therapy. However, it is important to follow the healthcare provider's instructions regarding monitoring and follow-up appointments.
B. "You should avoid eating eggs": There is no specific dietary restriction or need to avoid eating eggs while taking oral acetylcysteine. However, it is always advisable to follow a balanced and healthy diet.
C. "Your mouth will become dry!": Dry mouth is not a common side effect of oral acetylcysteine. Side effects may vary from person to person, but dry mouth is not typically associated with this medication.
Correct Answer is C
Explanation
Montelukast is a leukotriene receptor antagonist commonly used to manage asthma and allergic rhinitis. Its primary therapeutic effect is to improve respiratory symptoms by reducing inflammation and constriction of the airways. Therefore, an increased ease of breathing would be an expected outcome indicating that the medication is working effectively.
The other options are incorrect because:
A. The client's seizure threshold is reduced: Montelukast does not have any effect on the seizure threshold. This outcome is unrelated to the medication and may be indicative of a different condition or treatment.
B. The client experiences less muscle pain: Montelukast is not indicated for reducing muscle pain. This outcome is unrelated to the medication and may be indicative of a different condition or treatment.
D. The client's platelet count is increased: Montelukast does not have an effect on platelet count. This outcome is unrelated to the medication and may be indicative of a different condition or treatment.
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