The nurse is caring for a client who has been diagnosed with diabetes mellitus. The client must learn how to independently perform finger stick blood sugar analysis as part of the plan of care
The client says, "I already know what you are attempting to teach because I looked everything up on the internet." Which is the best action by the nurse based on the client's statement?
A) Document that the client understands teaching.
B) Teach the client's support system how to perform the procedure.
C) Give the client printed learning materials.
D) Watch the client perform a return demonstration of the skill.
Answer: D
The nurse is responsible for documenting that the client can perform the skill that has been taught. Giving the client written directions or teaching the support individual does not meet the requirement that the client will perform the skill. The nurse cannot document that the client understands teaching until a return demonstration by the client is correctly performed.
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