A nurse is completing medication reconciliation for an older adult client who is receiving
multiple medications. Which of the following actions should
... [Show More] the nurse take first?
A- Clarify the client list of medications with the pharmacist
B- compare the current list against the new medication prescriptions
C- investigate any discrepancies on that list
D- ask the client about over the counter medications she is taking
Answer- D
The nurse should apply the nursing process priority-setting framework. The nurse can use the
nursing process to plan client care and prioritize nursing actions. Each step of the nursing
process builds on the previous step, beginning with assessment or data collection. Before the
nurse can formulate a plan of action, implement a nursing intervention, or notify the provider of a
change in the client’s status, she must first collect adequate data from the client. Assessing or
collecting additional data will provide the nurse with knowledge to make an appropriate decision.
When performing medication reconciliation, it is important that the nurse collect a list of all the
medications the client takes in order to compare the full list of medications against any new
medications the client will take. The list should include prescriptions, over-the-counter
medications, and herbal and nutritional supplements.
A- The nurse should clarify the client’s list of medications with the pharmacist,
caregivers, providers, and the client; however, this is not the first action the nurse
should take.
B- The nurse should compare the medication list against any new prescriptions to
ensure there is not any duplication of medications or potential medication interactions;
however, this is not the first action the nurse should take.
C- The nurse should investigate discrepancies on the list with the provider to prevent
medication errors; however, this is not the first action the nurse should take.
Exam 1?
A nurse at a long-term care facility is planning care for a client who has Alzheimer's
disease and wanders at night. Which of the following interventions should the nurse
include in the plan?
A- Place the client in wrist restraints at night
B- request a prescription for a psychotropic medication
C- assign the client to a room closer to the nurses station
D- cheap the television on at night
Answer- C
The nurse should place the client who wanders in a room that allows for close
observation. The nurse should provide clients who wander a safe place to walk and
supervision when the client is ambulating.
A- The nurse should protect the client from harm, but restraints can result in agitation.
B- The nurse can administer a psychotropic medication to treat depression or emotional
manifestations of Alzheimer’s disease, but not to treat wandering behaviors.
D- The nurse should avoid the use of excessive light and sound stimulation for the client
who has Alzheimer’s disease. This can cause further agitation and con [Show Less]