Pharmacology and dosage

A patient is being discharged with a new prescription that replaces one of her long-standing home medications. Which discharge reconciliation action most directly prevents her from taking both?

• AHand her the new prescription and advise her to ask the community pharmacist about anything she is unsure of.
• BTell her the new medication is stronger than the old one so she will notice the difference.
• CGo through the reconciled discharge list with her, name the replaced medication as stopped, state what to do with the remaining supply, and confirm her understanding of the change.
• DGive her a printed list of the new medications only, so that nothing she has stopped can confuse her.