Every gap between four home sources and one set of discharge orders is sorted as documented, unexplained or unintentional in the NU475 Unit 3 reconciliation shown here. Searches like "nu 475 unit 3 assignment example", "nu475 unit 3 sample" and "nu475 unit 3 example" land here.
What a finished NU475 Unit 3 medication reconciliation exercise looks like
A reconciliation table of [14] rows followed by about 700 words of discussion. Columns run: drug and dose as each source records it, the discharge order, the discrepancy type, the reason as documented or missing, and the action with an owner. Every drug name and dose sits in brackets because the case is composite. Five rows carry the weight. [Lisinopril] is gone from the orders with no stop reason written, although guidance on ascites supports stopping it. His nighttime pain reliever combines [diphenhydramine] with [acetaminophen], which no clinician list shows. [Ibuprofen] taken most days appears only in his wife's notes. [Omeprazole] has run since [2019] with no indication anyone can trace. And the [spironolactone] dose in the discharge summary differs from the electronic prescription the pharmacy received.
How a NU475 Unit 3 example is structured
The discussion follows the table's own order of harm rather than the alphabet. First comes the [spironolactone] mismatch, the only unintentional discrepancy, because a dose [four] times lower than intended would let ascites reaccumulate within days, and it reaches him through the pharmacy regardless of what anyone teaches. The over-the-counter findings follow as a pair: the combined sleep product, which adds a sedating anticholinergic and hidden [acetaminophen] to a brain already prone to encephalopathy, and the [ibuprofen], which threatens kidneys and fluid balance in cirrhosis. [Lisinopril] is treated as intentional but undocumented, and the fix is a written stop reason sent to primary care so it is not restarted at the next visit. [Omeprazole] closes the list as a deprescribing question for the hepatology team rather than a nursing decision. Distribution of the reconciled list, to prescriber, pharmacy, clinic and wife, is the last paragraph.
Four sources, none complete
Bottles, fill history, his wife's list and the clinic record each get a column, so the reader sees which source alone caught which drug and which drug appeared nowhere official.
A diuretic dose changed in transit
The discharge summary says [100 mg] of [spironolactone]; the prescription the pharmacy filled says [25 mg]. The table marks it unintentional and routes it to the discharging prescriber the same day.
Two drugs no clinician recorded
A nightly sleep product pairing [diphenhydramine] with [acetaminophen], and [ibuprofen] for knee pain, are listed as stops, with plain [acetaminophen] capped at [2 g] daily as the replacement.
A stop nobody wrote down
[Lisinopril] was probably held on purpose because of the ascites, but with no reason in the record the primary care clinic could restart it at the first follow-up appointment.
An old prescription questioned
[Omeprazole] from [2019] has no traceable indication, and the exercise hands the continue-or-stop decision to hepatology, noting its association with infection and encephalopathy risk in cirrhosis.
Where marks go in NU475 Unit 3
Reconciling, not listing, is the whole task, and rubrics on this exercise tend to be strict about the difference. A table that copies the home list beside the discharge orders without classifying each gap has done the collection and skipped the judgment. Over-the-counter products and supplements are where points often disappear, because they sit on no clinician's list and surface only when someone asks. Discrepancy categories applied consistently, with a documented reason or a flag where the reason is missing, show the reviewer a method. Actions need an owner and a recipient: the prescriber for the dose error, primary care for the stopped drug. Explaining why each finding matters in cirrhosis specifically, rather than in general, usually lifts a competent table into a strong one.
Get a NU475 Unit 3 example written to your instructions
Home lists, discharge orders and a patient story are the three pieces the desk works from, and composite versions are fine. Share whichever reconciliation form or template the section provides, plus the rubric that grades it. The reconciliation arrives with every drug and dose bracketed, returned inside 24-48h, and a first request is free.
NU475 Unit 3 questions, answered
Do I need to include over-the-counter drugs and supplements?
Yes. Reconciliation standards cover everything the patient actually takes, and nonprescription products are where many of the dangerous findings sit. In the sample, a nighttime pain reliever carries both a sedating antihistamine and acetaminophen, and neither shows on any clinician's list. Ask about sleep aids, pain relievers, herbal products and anything taken only now and then.
What discrepancy categories should the table use?
Most instructors accept three: intentional and documented, intentional but undocumented, and unintentional. Some prompts use omission, commission and dose or frequency error instead. Use whichever set your course provides, and apply it identically on every row, so a reader can see that each classification follows a rule rather than an impression formed on the spot.
Can the dose values be real?
They can reflect real dosing ranges, but the patient and the list should not be anyone you have cared for. The sample brackets every drug name and dose to mark them as illustrative inputs for a composite case, and your version can do the same. Instructors care about the method and the reasoning far more than the specific numbers.