The nurse is reviewing the differential on a client who had a complete blood count and notes the neutrophils are within normal ranges if they are:

A. Instruct the client to wait until you are completely finished before asking any questions – This discourages client engagement and may prevent the nurse from addressing concerns in real time.

B. Teach information at a 5th-grade level – While simple language is beneficial, the level should be tailored to the client’s comprehension rather than assuming all clients understand at a 5th-grade level.

C. Talk about the least important information in the beginning and the most important at the end – Clients may have limited attention spans, and it is better to start with essential information.

D. Use teach-back method and active learning: The teach-back method ensures that the client understands the medication instructions by asking them to repeat the information. Active learning engages the client in the learning process, improving retention.

A. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider." All medications must be documented, including over-the-counter drugs, herbal supplements, and non-prescribed medications to avoid drug interactions.

B. "A nurse should write a verbal order in the medical record for medications the client was taking at home." Verbal orders should be avoided unless in an emergency, and reconciliation should be based on a review of documented prescriptions and client reports rather than nurse-written orders.

C. "Complete the reconciliation process one time only when the client is first admitted to the hospital." Medication reconciliation must be repeated at every transition of care, including admission, transfer between units, and discharge.

D. "A comprehensive list of medications is reviewed upon admission/transfer and provided for the client at the time of discharge." Medication reconciliation is a critical process to ensure continuity of care and prevent medication errors. It must be conducted at every transition of care (admission, transfer, and discharge) to compare the client’s home medications with hospital prescriptions and make adjustments as needed.