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

Compare the client's list of home medications to the admission prescriptions written for the client.

Compare a list of common medications to treat a condition to the actual prescriptions.

Compare the medication label to the provider's prescription on three occasions before administration.

Compare the prescription to the allergy history of the client.

Answer and Explanation

The Correct Answer is A

Rationale:
A. Medication reconciliation involves reviewing all medications the client was taking at home and comparing them with the prescriptions ordered on admission. This process helps identify discrepancies, prevent omissions, duplications, or potential interactions, and ensures continuity of care.

B. Comparing a standard list of medications for a condition is not part of medication reconciliation because it may not reflect the individual client’s needs, allergies, or previous therapy. The focus should be on the client’s actual home medications.

C. This step refers to the “three checks” of medication administration, which is different from the initial reconciliation process. Reconciliation focuses on matching home medications with admission orders, not verifying labels prior to each dose.

D. While checking for allergies is a critical safety step, it is only one component of safe medication administration. Medication reconciliation is broader, ensuring that all home medications are considered and that any changes or omissions are intentional and documented.

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Correct Answer is D

Explanation

Rationale:
A. A single light fixture hangs along the sidewalk to the house: Proper home safety requires adequate lighting to prevent falls, particularly along walkways. A single light fixture may not provide sufficient illumination and poses a risk.

B. A small area rug is placed at the front door: Loose rugs increase the risk of slips and falls. Safe home practices include securing rugs with nonslip backing or removing them entirely.

C. The batteries in the smoke alarms are changed annually: Smoke alarm batteries should be checked and replaced more frequently, typically every 6 months, to ensure proper function. Annual replacement alone may not be sufficient.

D. The water heater is set at 54° C (129.2° F): Setting the water heater at or below 54° C helps prevent scald injuries while providing adequate hot water. This demonstrates the client’s understanding of home safety measures.

A. The client takes multiple steps while holding the walker. B. The client lifts the walker as it is moved forward. C. The client advances the walker and takes a step towards it. D. The client grasps the walker by the hand grips on the upper bars.

Correct Answer is A

Explanation

Rationale:
A. The client takes multiple steps while holding the walker: Taking several steps while holding the walker increases the risk of imbalance and falls. The correct technique is to move the walker forward one step length, ensure all four legs are stable on the ground, and then take a single step toward it before moving the other leg.

B. The client lifts the walker as it is moved forward: The walker should be lifted slightly and placed firmly on the ground to ensure stability with each step. Sliding the walker instead of lifting it can cause uneven movement or tipping, especially on rough surfaces, making lifting the correct method.

C. The client advances the walker and takes a step towards it: This is the proper technique for safe use. The client should advance the walker first, then step forward with the weaker leg, followed by the stronger leg, maintaining balance and even weight distribution.

D. The client grasps the walker by the hand grips on the upper bars: Proper hand placement on the upper hand grips ensures stability and correct posture during ambulation. Holding the walker anywhere else can cause poor control, imbalance, or wrist strain.

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

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