Which statement best describes the nurse’s role in medication reconciliation?
Gather information on the patient’s current medications, including prescription drugs, over-the-counter drugs, herbal supplements, and vitamins. To ensure accuracy, nurses verify the medication list with the patient, family, caregivers, or community pharmacies and document the information in the patient’s EMR.
Review the patient’s medication list to verify its accuracy and completeness. They also compare the list of current medications with new orders or prescriptions to detect any discrepancies or potential issues.
Review the medication history provided by the patient and make changes in the medications based on the patient’s current health status. They communicate any medication changes to the patient and the healthcare team.
The Correct Answer is A
The correct answer is A. Gather information on the patient’s current medications, including prescription drugs, over-the-counter drugs, herbal supplements, and vitamins. To ensure accuracy, nurses verify the medication list with the patient, family, caregivers, or community pharmacies and document the information in the patient’s EMR.
Choice A: Gather information on the patient’s current medications, including prescription drugs, over-the-counter drugs, herbal supplements, and vitamins. To ensure accuracy, nurses verify the medication list with the patient, family, caregivers, or community pharmacies and document the information in the patient’s EMR.
This choice accurately describes the comprehensive process of medication reconciliation. Nurses play a crucial role in gathering detailed information about all medications a patient is currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and vitamins. This information is then verified with various sources such as the patient, their family, caregivers, or community pharmacies to ensure its accuracy. Finally, the verified information is documented in the patient’s Electronic Medical Record (EMR). This process helps prevent medication errors, ensures continuity of care, and enhances patient safety.
Choice B: Review the patient’s medication list to verify its accuracy and completeness. They also compare the list of current medications with new orders or prescriptions to detect any discrepancies or potential issues.
While this choice describes an important aspect of medication reconciliation, it is not as comprehensive as Choice A. Verifying the accuracy and completeness of the medication list and comparing it with new orders or prescriptions is a critical step in identifying discrepancies or potential issues. However, it does not encompass the initial gathering of information from various sources or the documentation process, which are essential components of medication reconciliation.
Choice C: Review the medication history provided by the patient and make changes in the medications based on the patient’s current health status. They communicate any medication changes to the patient and the healthcare team.
This choice focuses on reviewing the medication history and making changes based on the patient’s current health status. While this is an important aspect of patient care, it does not fully capture the scope of medication reconciliation. Medication reconciliation involves not only reviewing and updating medications but also gathering comprehensive information from multiple sources and ensuring accurate documentation. This choice lacks the emphasis on verification and documentation that is central to the medication reconciliation process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Alkalosis
Alkalosis occurs when the blood pH is higher than the normal range, specifically above 7.45. This condition indicates that the blood is too alkaline. Causes of alkalosis can include hyperventilation, loss of stomach acid through vomiting, or an overuse of diuretics. Since a blood pH of 7.21 is below the normal range, it does not indicate alkalosis.
Choice B: Normal Blood pH
The normal pH range for blood is between 7.35 and 7.45. This range is crucial for the body’s metabolic processes and enzyme functions. A blood pH of 7.21 is below this range, indicating an abnormal condition.
Choice C: Acidosis
Acidosis is the correct answer. It occurs when the blood pH drops below 7.35, indicating that the blood is too acidic. A pH of 7.21 is significantly below the normal range, confirming acidosis. This condition can result from various factors, including respiratory issues that lead to an accumulation of carbon dioxide or metabolic problems that increase acid production or decrease bicarbonate levels.
Choice D: Hyperkalemia
Hyperkalemia refers to an elevated level of potassium in the blood, not a change in blood pH. While hyperkalemia can be associated with acidosis, it is not defined by the pH level itself. Therefore, a blood pH of 7.21 does not directly indicate hyperkalemia.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A: Anesthetic agents and other drugs that were administered
This is a correct answer. Including information about the anesthetic agents and other drugs administered during surgery is crucial for the PACU nurse. This information helps in monitoring the patient’s recovery from anesthesia and managing any potential side effects or complications. Knowing the specific drugs used allows the PACU nurse to anticipate and address issues such as pain management, nausea, and allergic reactions.
Choice B: The patient’s relevant health history
This is another correct answer. The patient’s relevant health history provides essential context for the PACU nurse. It includes information about chronic conditions, allergies, previous surgeries, and any other factors that might affect the patient’s recovery. Understanding the patient’s health history helps the PACU nurse to tailor post-operative care to the patient’s specific needs and to be vigilant for any complications that might arise due to pre-existing conditions.
Choice C: The name of the surgical procedure
This is also a correct answer. Knowing the specific surgical procedure performed is vital for the PACU nurse. It helps in understanding the expected post-operative course, potential complications, and specific care requirements. For example, the care for a patient who underwent a cardiac surgery will differ significantly from the care for a patient who had an orthopedic procedure.
Choice D: Estimated blood loss during surgery
This is the final correct answer. Reporting the estimated blood loss during surgery is important for the PACU nurse to assess the patient’s hemodynamic status and to plan for any necessary interventions. Significant blood loss may require monitoring for signs of hypovolemia, administering fluids or blood products, and closely watching vital signs.
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