A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure their blood pressure daily. Which of the following client statements indicates an understanding of the teaching?

The correct answer is choice B. Client states, "I started to itch after taking that medication."

Choice A rationale:

"Client is itching from medication." This statement is not a comprehensive description of the situation and lacks specific information. It doesn't provide any context about when the itching occurred or the client's own observation.

Choice B rationale:

"Client states, 'I started to itch after taking that medication.'" This choice is the correct answer because it accurately documents the client's own statement about the itching and the timing in relation to taking the medication. It includes a direct quote, which helps in maintaining accurate and patient-centered documentation.

Choice C rationale:

"It appears that the client has a rash from the medication." This statement includes an assumption and subjective language ("It appears"), which can be misleading in documentation. It's essential to provide factual and objective information in medical records.

Choice D rationale:

"Rash from medication noted." This choice lacks detail and doesn't capture the client's perspective or the timing of the symptom. It's important to include the client's statement and the time frame in which the symptom occurred.

Choice A rationale:

"You will need to sign a consent form before we begin the procedure." Rationale: While obtaining consent is an essential part of many medical procedures, including a bladder scan, it is not specific to the teaching related to the procedure itself. It addresses the legal and ethical aspect of the procedure but doesn't instruct the client on what to expect during the procedure.

Choice B rationale:

"I will place a gel pad directly above your pubic area before I place the probe." Rationale: This is the correct choice. Placing a gel pad above the pubic area before using the probe is an important step in ensuring proper ultrasound transmission and obtaining accurate results during a bladder scan. The gel pad helps to eliminate air gaps that could interfere with the quality of the scan.

Choice C rationale:

"You will need to hold your urine for 1 hour prior to the procedure." Rationale: Holding urine for an hour before a bladder scan might be required to ensure that the bladder is adequately filled for the scan, but it doesn't address the specific preparation related to the ultrasound procedure itself.

Choice D rationale:

"You will receive a contrast dye through an IV catheter prior to the scan." Rationale: Mentioning contrast dye and IV catheter is not relevant to a bladder scan. Contrast dye is often used in imaging studies like CT scans or angiograms, but not for a routine bladder scan. Therefore, this instruction is unrelated to the procedure in question.