Which nursing action indicates that medication reconciliation for an older client is most complete?
1. All prescribed medications are accounted for in the medical record.
2. Medications were identified and compared with written orders.
3. Herbal supplements, vitamins, and medication were reviewed.
4. Medication reconciliation occurred prior to client transfer.
3. Herbal supplements, vitamins, and medication were reviewed.
Explanation: 1. Medication reconciliation is a process that involves verification of all medications, including herbal or mineral supplements and vitamins, that a client takes; not just medication prescribed by a physician.
2. Medication reconciliation involves identifying, verifying, and comparing medications with the physician's orders.
3. All medications, including herbal or mineral supplements and vitamins, are to be included in a medication reconciliation.
4. The medication reconciliation process should be used whenever an individual moves from one care setting to another.
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The nurse caring for an expectant mother would monitor for which of the following that predisposes the mother for a risk of bleeding? (Select all that apply.)
a. decreased platelet level d. increased hematocrit level b. history of alcohol abuse e. taking NSAIDs c. a mother who is obese f. taking herbal medications
A 65-year-old professor complains of dryness of the eyes after reading or doing computer work. The nurse knows that this may be caused by:
A) Fatty deposits around the eyelids. B) The lens becoming more opaque. C) A decrease in tear production. D) Decreased ability to constrict the pupil.
The nurse enters a client's home to provide care to a wound and teach the client's wife how to care for the wound. The nurse is comfortable with the client's culture and the fact that it is matriarchal in nature
As teaching begins, the husband interrupts and states that the woman does not change bandages according to his culture. He asks if the nurse is familiar with his culture and then says that all members of his neighborhood follow its principles. The nurse should suspect that the client is a member of: A) A cult B) An orthodox religious group C) A subculture D) An occupation