NCLEX-RNSafety and Infection Prevention and ControlHard

A nurse is performing a medication reconciliation for a newly admitted client. The client reports taking a herbal supplement daily that is not listed in their electronic health record (EHR). What is the nurse's priority action?

  1. AAdvise the client to stop taking the herbal supplement immediately.
  2. BDocument the herbal supplement in the EHR and continue with the admission process.
  3. CNotify the prescribing healthcare provider about the unlisted herbal supplement.
  4. DEducate the client about potential interactions between the supplement and prescribed medications.
Show answer & explanation

Correct answer: C. Notify the prescribing healthcare provider about the unlisted herbal supplement.

Medication reconciliation is a critical safety process. Unlisted herbal supplements can have significant interactions with prescribed medications, potentially leading to adverse drug events. Notifying the healthcare provider is the priority to ensure a comprehensive medication review and adjust the treatment plan if necessary, preventing harm to the client.

Why the other options are wrong

  • A. Advising the client to stop a supplement without consulting the provider or assessing potential risks could be inappropriate, especially if it's for a chronic condition.
  • B. While documentation is important, the priority is to address the potential safety risk before simply continuing the admission.
  • D. Education is important, but it should follow the provider's assessment and decision-making regarding the safety of continuing the supplement.

Medication Reconciliation

The process of creating an accurate list of all medications a patient is taking and comparing it against the physician's admission, transfer, and discharge orders.

  • Prevents medication errors.
  • Includes all prescribed, over-the-counter, and herbal medications.
  • Done at all transitions of care.

Memory trick: Reconcile, Report, Review, Reduce Risk.

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