To create the second step of a taper, which action should be taken?

The correct choice involves linking orders and choosing "followed by," which is essential in creating a tapering schedule for medications. This action allows for a systematic approach to gradually reduce the dose of a medication while ensuring that there is a clear transition from the initial dose to the lower dose. By linking orders in this way, it helps to communicate the tapering plan effectively within the patient's medication management, providing clarity for healthcare providers involved in the patient's care.

When tapering medications, it is critical to have a structured plan that delineates how and when doses will change. This method supports continuity, minimizes the risk of withdrawal symptoms, and maintains therapeutic effectiveness as the patient reduces their medication dosage.

Other suggested actions may address different aspects of medication management but do not directly contribute to the establishment of the tapering schedule itself. For instance, discontinuing the first order could lead to abrupt cessation, which is not conducive to a tapering process. Setting a reminder for the next dose is useful but does not implement the necessary changes to the dosing regimen itself. Documenting the patient's response is crucial for tracking progress and side effects, but it occurs after changes in medication orders have been made. Therefore, linking orders to establish a tapering method is the most effective answer.