A nurse is reviewing a client's medication list during a home visit. The nurse notices that some of the medications have expired dates or are no longer prescribed for the client. Which of the following actions should the nurse take?

This statement reflects a lack of understanding of the potential consequences of medication errors. Even minor errors can lead to adverse events, complications, or increased length of stay. The client should be aware of the risks and benefits of their medication and report any errors or concerns to the nurse.

Incorrect choices:

a) "I should tell the nurse if I notice any unusual symptoms after taking my medication.": This statement shows that the client understands the importance of monitoring for adverse reactions and communicating with the nurse.

b) "I should check the label of the medication before I take it to make sure it is mine.": This statement shows that the client is taking an active role in preventing medication errors by verifying their identity and medication.

d) "I should ask questions if I am not sure about the purpose or side effects of a medication.": This statement shows that the client is seeking information and clarification about their medication, which can enhance their safety and adherence.

The first step in a root cause analysis is to collect data and facts about what happened, when, where, how, and why. This includes interviewing the staff involved, reviewing medical records, policies, procedures, and protocols, and examining equipment and environmental factors. Gathering information and evidence helps to establish a timeline and a causal chain of events that led to the error.

Incorrect choices:

a) Identify all the factors that contributed to the error: This is a later step in a root cause analysis, after gathering information and evidence. Identifying contributing factors helps to determine the underlying causes and system failures that allowed the error to occur.

b) Implement corrective actions to prevent recurrence of the error: This is another later step in a root cause analysis, after identifying contributing factors. Implementing corrective actions involves developing and testing solutions that address the root causes and improve patient safety.

c) Communicate the findings and recommendations to the staff and stakeholders: This is the final step in a root cause analysis, after implementing corrective actions. Communicating the findings and recommendations involves sharing lessons learned, best practices, and feedback with those who are affected by or involved in preventing similar errors.