The nurse is discharging an older adult client home from the emergency department (ED) after an acute episode of angina. What should the nurse do to ensure client safety upon discharge? (Select all that apply.)

Question

a. Reconcile the client's prescription and over-the-counter medications
b. Screen the client for functional and cogni-tive abilities, as well as risk for falls
c. Consult physical therapy to organize for home health services
d. Arrange for the client's car keys to be taken to prevent an accident
e. Review discharge instructions with the client and a family member

Answer 1

A, B, E
Before discharge, the nurse should ensure that the client's prescription and over-the-counter me-dications are evaluated to determine whether the drug regimen should be continued. Discharge education should be provided to the client and a significant other or family member. To prevent future ED visits, screen older adults per agency policy for functional assessment, cognitive as-sessment, and risk for falls. Case management should be consulted to organize home health ser-vices. The nurse should emphasize safety when driving but cannot organize to take the client's keys away.