A nurse is reinforcing teaching with client who has diabetes mellitus and is taking insulin lispro and insulin glargine. Which the following instructions should the nurse include in the teaching?

A) "The client fell because the assistive personnel did not place nonskid slippers on the client.": This statement assigns blame to a specific individual (assistive personnel) for the fall, which is not appropriate for documentation. The nurse should focus on factual, objective information rather than assigning blame. Statements that imply fault without proper evidence or investigation should be avoided in medical records.

B) *Client stated, "I lost my balance and fell when I got out of bed to go to the bathroom.'": This statement accurately reflects the client’s account of the incident, which is a critical part of the documentation. The nurse should include the client’s own words when describing the event, as it provides essential context and ensures that the record is clear and unbiased. This statement is objective and factual.

C) "The client does not appear to have any injuries resulting from the fall.": While it’s important to assess for injuries, this statement could be too vague. The nurse should document a detailed assessment of the client’s physical condition post-fall, including any injuries, signs, or symptoms of injury. It is important to be thorough and specific in documenting the client's condition after the fall.

D) "An incident report has been completed and sent to risk management.": This information should not be included in the medical record. Incident reports are separate documents that are used for internal review and safety improvement purposes. Including this information in the medical record could lead to confusion and may not be relevant to the clinical care of the client.

A) "I should expect my periods to resume in 1 month.": This statement suggests a misunderstanding of the procedure. After a vaginal hysterectomy, periods will not resume because the uterus is removed. If a client expresses such expectations, it may indicate a lack of understanding about the procedure's outcomes and risks, meaning informed consent may not have been adequately given.

B) "I will have a large scar on my stomach after this procedure.": A vaginal hysterectomy is typically performed through the vaginal canal, not requiring an abdominal incision. Therefore, this statement reflects a misunderstanding of the procedure's approach, and would indicate that the client has not been fully informed about the surgical method.

C) "I am thankful I am done having children.": This statement indicates that the client has understood one of the key reasons for having a vaginal hysterectomy. The procedure typically results in the inability to conceive children, which is an important consideration for informed consent. It shows the client is aware of the consequences and is making an informed decision.

D) "I will no longer need regular gynecological examination.": This statement reflects a misunderstanding. Even after a hysterectomy, it’s important for clients to continue routine gynecological exams, as they may still need to monitor other aspects of their reproductive health, including the vagina and ovaries (if retained). It indicates that the client may not have been fully informed about post-operative care requirements.