A postoperative patient and caregiver need discharge teaching. ...

[ENagel]

A postoperative patient and caregiver need discharge teaching. Which actions included in the teaching plan can the nurse delegate to unlicensed assistive personnel (UAP)?
 
  a. Evaluate whether the patient and caregiver understand the teaching.
  b. Show the caregiver how to accurately check the patient's temperature.
  c. Schedule the discharge teaching session with the patient and caregiver.
  d. Give the patient a pamphlet reinforcing teaching already done by the nurse.

Question 2

A middle-aged patient who has diabetes tells the nurse, I want to know how to give my own insulin so I don't have to bother my wife all the time. What is the priority action of the nurse?
 
  a. Demonstrate how to draw up and administer insulin.
  b. Discuss the use of exercise to decrease insulin needs.
  c. Teach about differences between the various types of insulin.
  d. Provide handouts about therapeutic and adverse effects of insulin.

[juliaf]

Answer to Question 1

ANS: D
Providing a pamphlet to a patient to reinforce previously taught material does not require nursing judgment and can safely be delegated to UAP. Demonstration of how to take a temperature accurately, determining the best time for teaching, and evaluation of the success of patient teaching all require judgment and critical thinking and should be done by the registered nurse.

Answer to Question 2

ANS: A
Adult education is most effective when focused on information that the patient thinks is needed right now. All of the indicated information will need to be included when planning teaching for this patient, but the teaching will be most effective if the nurse starts with the patient's stated priority topic.

[ENagel]

Excellent

[Zebsrer]

Thanks for the timely response, appreciate it