1. The nurse completes the medication reconciliation for this patient. Explain the information gained in this procedure and the purpose of the medication reconciliation. (5 points)

The medication reconciliation presented a panoramic view of the dose, route and frequency of the prescription the patient is currently taking. After it is performed it can be observed that the patient is taking 1200mg of Ibuprofen which is the max dose per day. Tylenol is prescribed 500mg every 6 hours PRN, patient need to be instruct not to exceed 3000mg per day. It is important to teach patient about the possible interaction between NSAID or acetaminophen and OTC cold medication. Hydrochlorothiazine 25mg twice a day, diuretics need to be monitor due to the interaction …show more content…
7. The surgeon orders cefazolin (Ancef) 1 gram intravenous piggy back (IVPB) upon initial incision. What does the nurse understand as the rationale about the use of this drug? (5 points)

Cefazolin (Ancef) is used for surgical prophylaxis due to its antimicrobial resistance in preventing infection. It is important to start the dose one hour or half an hour prior to surgery to be able to reach the adequate level of medication by the time of the incision. Another rationalities about this drug is the understanding that it is part of the first-generation cephalosporin which raise the possibility of an anaphylactic reaction due to its similitude to penicillin.

8. The patient states the pain is at an 8 out of 10 in his right knee. What would the PACU nurse do? (5 points)

After assessing the patient pain level the PACU nurse could start the process of pain management with the administrate of the very potent short acting opioid Hydromorphone, which is the first line analgesic use in the PACU. The nine rights of medication administration need to be enforce as well as having the antidote available in case of