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 is the safest and most environmentally friendly way to dispose of expired or unused medications. It prevents accidental ingestion, misuse, abuse, or diversion of medications by others. It also reduces the risk of contamination of water sources or soil by pharmaceuticals.

Incorrect choices:

a) Dispose of the expired or unused medications in a trash can: This is not a safe way to dispose of expired or unused medications. It can expose others, such as children, pets, or scavengers, to potentially harmful substances. It can also allow medications to leach into landfills or groundwater.

c) Advise the client to keep the expired or unused medications for future use: This is not a safe way to manage expired or unused medications. It can lead to medication errors, such as taking the wrong medication, the wrong dose, or an ineffective or harmful medication. It can also encourage self medication or sharing of medications with others without medical supervision.

d) Flush the expired or unused medications down a toilet or a sink: This is not an environmentally friendly way to dispose of expired or unused medications. It can contaminate water sources or aquatic life with pharmaceuticals. It can also damage plumbing or sewage systems.

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.