A nurse is reinforcing teaching about the side effects of metoprolol. Which of the following client statements indicates an understanding of the teaching?

Choice A reason: Blaming assistive personnel is subjective and speculative, not factual documentation. Falls may have multiple causes—mobility or environment—not just slippers. Legally and scientifically, records require objective data, not assumptions, to ensure accurate care planning and avoid liability missteps in clinical reporting.

Choice B reason: Quoting the client’s account provides objective, firsthand data about the fall’s circumstances—loss of balance during transfer. This factual detail aids in assessing risk factors like mobility or weakness, aligning with scientific documentation standards for precision and relevance in medical records.

Choice C reason: Incident reports are separate from medical records; mentioning one here is inappropriate. It’s an administrative action, not clinical data, and risks redundancy. Scientifically, records focus on patient status, not process notes, ensuring clarity for care continuity over procedural documentation.

Choice D reason: "Does not appear" is vague, not definitive, lacking objective findings like "no bruising noted." Documentation requires specific observations for accuracy. Scientifically, imprecise language weakens care planning, as it fails to confirm injury status with measurable evidence needed for clinical decisions.

Choice A reason: Budesonide prevents, not rescues, asthma attacks; rescue inhalers like albuterol are used instead. This shows misunderstanding of its controller role in management.

Choice B reason: Rinsing after budesonide, a corticosteroid, prevents oral thrush by removing residue. This reflects correct understanding of side effect prevention in asthma therapy.

Choice C reason: Timing budesonide to meals and bedtime isn’t standard; it’s typically twice daily. This indicates confusion about its preventive, not situational, use.

Choice D reason: Pre-exercise use fits rescue inhalers, not budesonide, which builds long-term control. This misapplies its purpose, showing a lack of asthma management grasp.