Place the medication-reconciliation actions in order for a client transitioning from the hospital to home.
Ordered Response
Choose your responses, then check the answer.
Explanation
First obtain the most accurate medication history possible. Compare it with current and proposed orders, resolve discrepancies with the prescriber and pharmacist, create and teach one final list, and communicate it across the transition with documented follow-up.
Why this is correct A medication list cannot be reconciled until the nurse has a credible history from more than one source when possible. Comparison reveals discrepancies; clinical clarification determines which are intentional. The client then receives one actionable list, and the receiving team gets the same information.
NCLEX decision rule Medication reconciliation is not copying the chart. It is a closed-loop process that identifies, resolves, teaches, and communicates medication changes.
Reference
1AHRQ MATCH medication-reconciliation toolkit
Transition-of-care medication safetyThe client uses prescriptions from two clinicians, over-the-counter products, and a supplement. The preliminary discharge list differs from the medications the client reports taking at home.
Medication Reconciliation — A structured comparison of medication histories and orders to identify and resolve discrepancies at care transitions.
Transition of Care — Movement between settings or clinicians when accurate clinical information must follow the client.
Sterile Technique — Practices used to prevent contamination of sterile equipment or tissue.