A nurse is collecting data from a client who has placenta previa.
Which of the following findings should the nurse expect?

Choice A rationale:

Establish learning outcomes. Establishing learning outcomes is an important step in developing an education program, but it should not be the first step. Before setting learning outcomes, the nurse should assess the participants' needs and abilities, which includes determining their literacy level. Without this information, it is difficult to create meaningful and relevant learning outcomes.

Choice B rationale:

Create handouts for participants. Creating handouts is an essential part of the education program, but it should come after determining the literacy level of participants. Handouts should be tailored to the participants' literacy levels to ensure that they can understand and benefit from the materials provided.

Choice D rationale:

Schedule a time to implement the program. Scheduling a time to implement the program is also an important step, but it should not be the first action taken. Before scheduling, the nurse needs to gather information about the participants' needs and abilities to ensure that the program is appropriately designed and timed for their convenience.

Choice C rationale:

Determine the literacy level of participants. Determining the literacy level of participants should be the first action taken when developing an education program for older adults. This step is crucial because it helps the nurse understand the participants' reading and comprehension abilities. It allows the nurse to tailor the program materials and teaching methods to match the literacy level of the group. Older adults may have varying levels of literacy, and customizing the program to their needs will improve its effectiveness and ensure that participants can fully engage and benefit from the educational content.

Choice A rationale:

A client who has an infection refusing an evening meal does not necessarily require an incident report. It may be due to factors such as loss of appetite or discomfort related to the infection, and nursing interventions like monitoring and reassessment should be prioritized.

Choice B rationale:

Writing an incident report is appropriate when a client falls when ambulating to the bathroom alone. Falls can lead to injuries and may indicate a need for a change in the client's care plan or additional safety measures. Reporting falls is essential for quality improvement and preventing future incidents.

Choice C rationale:

Recording an approximate amount of urine after it leaked from the client's catheter bag is an event that should be documented in an incident report. This helps in identifying potential issues with catheter care or equipment and ensures that proper corrective actions are taken.

Choice D rationale:

Administering the first dose of an antibiotic 1 hour before the collection of blood for culture and sensitivity testing is not necessarily an incident that requires reporting. While it may not be ideal timing, it may not have a significant impact on the accuracy of the test results. However, it's essential to follow facility policies and procedures regarding medication administration and specimen collection.

Choice E rationale:

Administering a daily medication at 1000 instead of the scheduled 0900 time is a medication error and should be reported in an incident report. Medication errors can have serious consequences, and reporting them is essential for proper documentation, investigation, and prevention of future errors.