A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care facility. Which of the following should the nurse identify as part of the medication reconciliation process?

A. While recommendations regarding medications may be made by the healthcare team after reviewing the reconciliation, the process of medication reconciliation itself does not involve creating new recommendations. The purpose is to verify and document what the client is already taking to ensure safety during transitions of care. B. Knowing which pharmacy fills the client’s prescriptions can help with refills or insurance verification, but it is not central to medication reconciliation. The main goal is to identify the exact medications, doses, and schedules the client is taking, regardless of the pharmacy source. C. Medication reconciliation involves compiling a complete and accurate list of all medications the client is currently taking, including prescriptions, over-the-counter drugs, vitamins, supplements, and any medications administered at another facility. This is especially important for older adult clients transferred from long-term care facilities, as errors such as omissions, duplications, or interactions are common during transitions. Verifying these medications ensures continuity of care, prevents adverse drug events, and guides safe prescribing in the new setting. D. Decisions to discontinue or adjust medications occur after reconciliation if discrepancies, duplications, or potential risks are identified. The reconciliation process itself is focused on collection and verification of current medication information, not making immediate changes.