# A client is being discharged after hospitalization for heart failure. The nurse compares the home medication list with the new prescriptions and finds duplicate loop diuretics listed. Which action should the nurse take first?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397125&lang=en  
> language: en  
> subject: Collaboration with Multidisciplinary Team  
> category: MOC

## Question

A client is being discharged after hospitalization for heart failure. The nurse compares the home medication list with the new prescriptions and finds duplicate loop diuretics listed. Which action should the nurse take first?

## Option

1. Give the prescriptions and advise the client to call the pharmacy.
2. Clarify the discharge medication list before the client leaves. **✔ Correct answer**
3. Tell the client to take whichever diuretic was used at home.
4. Document that the duplicate medications were reviewed.

**Correct answer: 2**

## Explanation

Medication reconciliation prevents omissions, duplications, and dosing errors during transitions of care. The nurse should clarify the discrepancy before discharge because duplicate loop diuretics could cause dehydration, hypotension, and electrolyte imbalance. Documentation follows resolution of the safety issue.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Discharge medication reconciliation.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Discharge medication reconciliation, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Medication Reconciliation** — A formal comparison of current medications with new orders to identify discrepancies.
- **Transition of Care** — Movement of a client between care settings or levels of care.
- **Loop Diuretic** — A medication that promotes sodium and water excretion and can affect fluid and electrolyte balance.

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