Final answer:
Effective discharge teaching is evident when guardians correctly recall and adhere to medication application, scheduling follow-ups, and initiating new medications as instructed. In this case, statements indicating effective education include applying hydrocortisone cream as instructed and returning for evaluation in the specified time frame.
Step-by-step explanation:
A nurse caring for a preschooler can determine if the discharge teaching was effective based on the guardian's statements. The statements that show effective discharge teaching are the ones that reflect proper understanding and adherence to the provided instructions regarding medication application, follow-up schedule, and the correct initiation of new medication. Specifically, statements (a) "We will apply the hydrocortisone cream more frequently" and (c) "We'll return for evaluation in 1 to 2 weeks as instructed" show an understanding and accurate recall of the instructions given by the healthcare provider.
Applying hydrocortisone cream more frequently suggests that the guardian understood the instructions to manage the skin condition effectively. On the other hand, statement (b) heeds caution as sores bleeding should not necessarily be considered normal and may require further medical evaluation. Lastly, statement (d) regards administering the first dose of Loratadine at home, indicating the guardian is aware of when to begin the new medication as instructed for the child's allergies or rash.
Therefore, the correct statements that indicate effective discharge teaching are (a) and (c) as they imply adherence to the prescribed treatment and follow-up care plan. Guardians need to understand discharge instructions to ensure the safety and efficacy of prescribed treatments, such as the application of hydrocortisone cream or other medications like Loratadine.