Which is the most important nursing action before discharge for a mother who is apprehensive about giving her child insulin?
a. Review the side effects of insulin with the mother.
b. Have the mother verbalize that she knows the importance of follow-up care.
c. Observe the mother while she administers an insulin injection.
d. Help the mother devise a rotation schedule for injections.
C
It is important that the nurse evaluate the mother's ability to give the insulin injection prior to discharge. Watching her give the injection to the child will give the nurse an opportunity to offer assistance and correct any errors. Although reviewing side effects is important, this could be done over the phone or by the pharmacist when the medication is picked up. Having the mother verbalize her knowledge of the importance of follow-up care is important but not directly relevant to the mother's concern. Helping the mother devise a rotation schedule for injections is important but not as important as having the mother demonstrate the procedure.
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