A nurse is completing medication reconciliation for an older adult client who is
receiving multiple medications. Which of the following actions should the
nurse take first?
A- Clarify the client list of medications wi
...
A nurse is completing medication reconciliation for an older adult client who is
receiving multiple medications. Which of the following actions should 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.
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