The home health nurse prepares to teach a Hispanic patient who neither speaks nor reads English how to measure and administer insulin. The most helpful teaching tools would be:
1. a booklet from the American Diabetes Association explaining the effects of too much or too little insulin.
2. a nutrition MyPyramid explanation, discussing amounts of each food group needed each day.
3. an alarm clock, magazine pictures showing sunrise and sunset, several clean insu-lin syringes, and insulin bottles filled with colored water.
4. a large sheet explaining the need for washing hands, times, amounts of insulin to inject, and the nurse's home phone number.
3
If the patient has been assessed as not being able to process written or spoken English, it is futile to provide literature. MyPyramid has nothing to do with injecting insulin. Pictures and a clock are universal symbols that are readily understood. Return demonstrations with the actual syringe are good learning exercises.
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