The nurse has instructed a patient on the home use of a machine to treat sleep apnea. Which of the following would indicate that the patient understands the instructions?
1. Patient demonstrates the use of the machine and the application of the mask.
2. Patient points to the instructions.
3. Patient says, "I know how to do it.".
4. Patient looks to her husband and says, "Do you have any questions?"
Patient demonstrates the use of the machine and the application of the mask.
Rationale: The nurse is attempting to evaluate the success of instruction. The best way for the nurse to assess the patient's learning is to have the patient demonstrate the use of the machine and the application of the mask. Pointing to the instructions does not ensure learning of the process or materials. Stating, "I know how to do it" may or may not be sufficient to assess that learning has taken place. Asking her husband if he has any questions would indicate that the patient is not clear on the use of the equipment.
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