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    ATI RN Pharmacology 2023 proctored exam

    A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?

    Explanation & Rationale

    A. Document the updated list and send it to the pharmacy: Documentation occurs after all medications have been reviewed and discrepancies resolved. Completing this step first could result in incomple te or inaccurate records. B. Compare preadmission medications to current medications: Comparison is done after compiling a comprehensive list of current medications. Without knowing exactly what the client is taking, discrepancies cannot be identified. C. Address any discrepancies between current medications and new prescriptions: Resolving discrepancies comes after compiling and comparing medication lists. This ensures that interventions are based on accurate and complete information. D. Compile a list of all medications the client is currently taking: The first step in medication reconciliation is gathering a complete and accurate list of all medications, including prescriptions, over-the-counter drugs, and supplements. This forms the foundation for safe comparison and management.

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