A nurse is reinforcing teaching with a client who has diabetic neuropathy about foot care.
Which of the following instructions should the nurse include?

he correct answer is:

A. Clarify the dosage of the morphine.

Explanation:

The prescription indicates that the client should receive 1 to 2 mg of morphine subcutaneously every 4 hours as needed for pain. This means that the nurse can administer 1 mg or 2 mg of morphine, but the exact dose should be determined based on the client's pain level and response to the medication. The nurse should clarify with the prescriber to determine the specific dosage range that is appropriate for the client.

The other options are incorrect:

• B. Administer up to 2 mg of morphine in 4 hr: The prescription states that the client can receive up to 2 mg in 4 hours, but the nurse should not administer the maximum dose without first assessing the client's pain level and determining the appropriate dose based on their individual needs.
• C. Clarify the route of the morphine: The prescription clearly states that the morphine should be administered subcutaneously, so there is no need to clarify the route.
• D. Administer 2 mg of morphine every 2 hr: The prescription states that the morphine should be administered every 4 hours, not every 2 hours. Administering the medication more frequently than prescribed could lead to overdose or other adverse effects.

It is important for nurses to carefully review all prescriptions and clarify any uncertainties with the prescriber to ensure that medications are administered correctly and safely.

The correct answer is choice C.

Choice A rationale:

Lecture is a teaching method in which the instructor delivers information to the learners without actively involving them. In this scenario, the nurse is asking the client to explain the procedure in their own words, which is a more interactive approach than a lecture.

Choice B rationale:

Role play involves simulated situations where the learner acts out specific roles. This method is not being used here, as the nurse is not asking the client to act out the procedure.

Choice C rationale:

Teach-back, also known as the "teach-back method" or "closing the loop," is a teaching method where the nurse asks the client to explain the information they've been provided in their own words. This approach helps assess the client's understanding and retention of the information and allows for clarification if needed. It is a patient-centered and effective method for ensuring that the client comprehends the instructions and can be considered as a form of active learning, enhancing retention and autonomy in healthcare decision-making.