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Zorluk: OrtaAccident, Error, and Injury Prevention

An older adult client is admitted to the medical-surgical unit. The client's spouse brings a bag of over-the-counter supplements and prescription pill bottles, stating, "These are the medications my spouse takes every day at home." Which action is most important for the nurse to take to prevent a medication error?

  1. Review the labels on the bottles and compare them against the provider's current inpatient prescriptionsCevap
  2. B
    Administer the scheduled doses directly from the home bottles to ensure uninterrupted continuity of care
  3. C
    Request that a nursing assistant create an inventory list of the medications for the medical record
  4. D
    Document that the client's inability to recall their daily medication schedule is an expected age-related change

Cevap

The most important action is to review the labels on the bottles and compare them against the provider's current inpatient prescriptions.
To prevent medication errors, the nurse must actively participate in the medication reconciliation process. This involves reviewing the home medications brought in by the family and comparing them against the current inpatient prescriptions provided by the healthcare provider. This crucial safety step ensures that no medications are improperly duplicated, omitted, or given when contraindicated by the client's current acute condition.

Adım Adım Çözüm

1
Identify the potential safety risk associated with home medications brought into the hospital setting.
The nurse recognizes that administering unverified home medications can lead to severe adverse drug events.
Inpatient prescriptions may intentionally differ from home regimens due to the client's acute condition or new diagnoses.
2
Determine the practical nurse's appropriate role in the medication reconciliation process.
The nurse must actively compare the client's home medications with the current inpatient orders.
This direct comparison ensures accurate medication administration and prevents dangerous duplications, omissions, or drug interactions.

Anahtar Kavram

Medication Reconciliation and Error Prevention
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