The nurse compares the electronic health record before disch… | MyMerci
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Continuity of Care

The nurse compares the electronic health record before discharge. Which action is the priority?

Chart/Exhibit

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History
Vitals
Labs
Orders
Notes
Rheumatoid arthritis is controlled with methotrexate 15 mg by mouth every Tuesday. The client brought the labeled bottle, and the community pharmacy confirms the same schedule.
BP 124/70 mm Hg, HR 76/min, RR 16/min, temperature 36.8 C. The client is alert and ready for discharge.
WBC 6,800/mm3, hemoglobin 12.7 g/dL, platelets 238,000/mm3, creatinine 0.9 mg/dL.
Discharge medication: methotrexate 15 mg by mouth once daily, first dose tomorrow.
The client says, "I have always taken all 6 tablets together on Tuesday, never every day." No documentation explains a frequency change.
Explanation
The verified home regimen is once weekly, while the discharge order says once daily. The nurse should stop the transition process and resolve the high-risk frequency discrepancy before teaching or administration.
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