A nurse is assessing a client’s understanding of their medication regimen. The client nods in agreement but does not respond verbally. What is the nurse’s best action?

Choice A rationale

Asking the client to demonstrate emptying of the colostomy bag is an action that would be part of the implementation or evaluation phase, not the planning phase.
Choice B rationale
Describing which supplies would be needed is also part of the implementation phase. The planning phase focuses on assessing the client’s needs and readiness to learn.
Choice C rationale
Determining the client’s readiness to learn is a crucial step in the planning phase. It ensures that the client is prepared and willing to engage in the learning process, which is essential for effective education.
Choice D rationale
Identifying the client’s learning needs is part of the assessment phase, which precedes the planning phase. The planning phase involves using the information gathered during the assessment to develop a teaching plan.

Choice A rationale
Encouraging the patient to rely on their knowledge is not sufficient. Patients may not have the necessary understanding or skills to manage a new medication safely. It is important for the nurse to provide comprehensive education on the medication.
Choice B rationale
Reviewing the medication administration technique with the patient ensures they understand how to take the medication correctly. This includes the dosage, timing, and any specific instructions related to the medication. Proper education helps prevent medication errors and promotes adherence to the prescribed regimen.
Choice C rationale
Instructing the patient to avoid contacting healthcare providers with questions is incorrect. Patients should be encouraged to reach out to their healthcare providers if they have any questions or concerns about their medication. This ensures they have the support they need to manage their medication safely.
Choice D rationale
Providing the patient with written instructions only is not sufficient. While written instructions are helpful, they should be supplemented with verbal education and a demonstration if necessary. This ensures the patient fully understands how to take their medication and can ask questions if needed.