Question

The nurse is caring for a client who has been newly diagnosed with diabetes. One of the outcomes the nurse read on the client's plan of care this morning was: "Client will demonstrate correct technique for self-injecting insulin." The client required insulin prior to his lunch and successfully drew up and administered his insulin while the nurse observed. How should the nurse follow up this observation?

A) Record an evaluative statement in the client's plan of care.
B) Remove the outcome from the client's care plan.
C) Ask the nurse who wrote the plan of care to document this development.
D) Reassess the client's psychomotor skills at dinner time.

Answer 1

The nurse should record an evaluative statement in the patient's care plan following the successful self-administration of insulin by the patient.

Step-by-step explanation:

Following the observation of the client successfully administering insulin, the nurse should record an evaluative statement in the client's plan of care. This documentation is a critical part of the nursing process, ensuring that progress is accurately tracked and communicated across the healthcare team. It is important to keep the outcome in the client's care plan, as ongoing assessment and reinforcement of the skill may be required to ensure the client retains the ability to self-inject insulin effectively. Further reassessment could be necessary to ensure that the client maintains this competency over time, especially under different circumstances or if any changes in the client's health status occur.