In a situation where a grandchild is supervising an elderly grandparent's medications, what should the nurse do first if there are discrepancies in the medication prescribed?

In this scenario, assessing the grandchild's personal understanding of her grandparent's needs is a critical first step. This approach allows the nurse to determine whether the grandchild has adequate knowledge about the medications, their purposes, and the proper administration procedures. Understanding the grandchild's level of knowledge can help identify gaps that may have led to the discrepancies in medication management.

By performing this assessment, the nurse can tailor future interventions more effectively. It also facilitates communication about the importance of adhering to the prescribed medication regimen and the potential consequences of discrepancies, ensuring that the grandchild is better equipped to manage their grandparent's medications safely.

Once the assessment is complete, the nurse can then proceed to address any specific education needs, consider contacting the prescribing physician if necessary, and document findings appropriately. This step-by-step approach emphasizes patient safety and effective communication in medication management while prioritizing the education and involvement of the caregiver in the process.