A client has been diagnosed with diabetes mellitus and must learn ...

[MGLQZ]

A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment.
 
  The client says, I already know what you are attempting to teach because I looked everything up on the Internet.. The best action for the nurse to take is to: 1. Document that the client understands teaching.
   2. Give the client printed learning materials.
   3. Teach the client's support system how to perform the procedure.
   4. Require the client to perform a return demonstration.

Question 2

A nurse is working with a family of a child who is hospitalized with asthma. The family members speak little English, and the child is being sent home on nebulizer treatments as well as an inhaler.
 
  In addition to enlisting an interpreter to help with the language barrier, the nurse should: 1. Provide written instructions before discharge.
   2. Address any healing beliefs the family has.
   3. Make sure the child comes back for the follow-up appointment.
   4. Make sure the parents can set up the treatments for their child.

[sultana.d]

Answer to Question 1

4. Require the client to perform a return demonstration.

Rationale:
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 person 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.

Answer to Question 2

2. Address any healing beliefs the family has.

Rationale:
The client who does not understand will learn little, and providing an interpreter to assist with communication is extremely important in this situation. However, if the prescribed treatment conflicts with the client/family's cultural healing beliefs, the client may not be compliant with the recommended treatments. To be effective, nurses must deal directly with any conflicts and differing values held by the client's parents. It is also important to provide written material and assess the psychomotor skills of the child, but the first priority is ascertaining any belief conflicts that may interfere with the treatment.

[MGLQZ]

Thanks for the timely response, appreciate it

[juliaf]

Gracias!