Medication Management and Reconciliation Flashcards
7 cards from real Ambulatory Care Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medication Management and Reconciliation flashcards as text
Which patient population is at the HIGHEST risk for adverse drug events in ambulatory care?
Answer: Older adults aged 65 and above
Older adults are at highest risk due to polypharmacy, age-related pharmacokinetic changes, reduced renal and hepatic clearance, and increased sensitivity to drug effects.
A nurse uses the 'teach-back' method after counseling a patient on a new medication. What is the purpose of this technique?
Answer: To verify the patient correctly understood the medication instructions
Teach-back confirms comprehension by asking patients to explain the information in their own words, allowing the nurse to identify and correct misunderstandings.
A patient is prescribed a medication classified as a high-alert drug by ISMP. What does this designation indicate?
Answer: Errors with this medication have a higher likelihood of causing significant patient harm
ISMP high-alert medications are drugs that bear a heightened risk of causing significant patient harm when used in error, warranting special safeguards.
During medication reconciliation, a discrepancy is found between the patient's reported medications and the EHR medication list. What is the nurse's FIRST action?
Answer: Document the discrepancy and notify the prescribing provider for clarification
Discrepancies must be reported to the prescribing provider for clinical review and resolution, as only the provider can determine the appropriate course of action.
Which of the following is an example of a look-alike/sound-alike (LASA) drug pair that requires extra caution?
Answer: Hydroxyzine and hydralazine
Hydroxyzine (an antihistamine/anxiolytic) and hydralazine (an antihypertensive) are a classic LASA pair identified by ISMP due to their similar names and very different effects.
A patient states they stopped taking their antihypertensive medication because of side effects. What is the ambulatory nurse's priority action?
Answer: Assess which side effect the patient experienced and notify the provider
Assessing the specific side effect and notifying the provider enables appropriate clinical decision-making, such as dose adjustment, alternative medication, or side effect management.
Which statement about medication therapy management (MTM) services in ambulatory care is MOST accurate?
Answer: MTM is a pharmacist-led service that optimizes medication use and improves patient outcomes
MTM is primarily a pharmacist-provided service designed to optimize therapeutic outcomes through comprehensive medication reviews, patient education, and care coordination.