A nurse is conducting a home visit with a 75-year-old client who was recently discharged after treatment for heart failure. During the visit, the nurse notices multiple expired medication bottles and observes that the client appears confused when asked about their medication schedule. What should the nurse do first to promote the client’s safety?
Assess the client’s understanding of their current medication schedule and provide clarification as needed.
Recommend scheduling a follow-up visit with the primary care provider to adjust the medication regimen.
Contact the client’s family or caregiver to assist with managing medications moving forward.
Remove the expired medication bottles from the home to ensure the client does not take them.
The correct answer involves assessing the client's current understanding of their medication schedule. This step ensures the nurse gathers accurate information about the client's ability and knowledge, forming a foundation for interventions such as educating or introducing tools like a pill organizer. While removing expired medications is important, it doesn’t directly address the immediate safety risk of medication mismanagement. Relying on family members or healthcare providers before evaluating the cause of confusion may overlook the client's autonomy and understanding.
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