A nurse is preparing a teaching plan for a client who is learning crutch walking. The nurse should identify the following in the teaching plan.

Choice A rationale

Asking the client to demonstrate emptying of the colostomy bag is an action that would be part of the implementation or evaluation phase, not the planning phase.
Choice B rationale
Describing which supplies would be needed is also part of the implementation phase. The planning phase focuses on assessing the client’s needs and readiness to learn.
Choice C rationale
Determining the client’s readiness to learn is a crucial step in the planning phase. It ensures that the client is prepared and willing to engage in the learning process, which is essential for effective education.
Choice D rationale
Identifying the client’s learning needs is part of the assessment phase, which precedes the planning phase. The planning phase involves using the information gathered during the assessment to develop a teaching plan.

Choice A rationale
Using a standardized pediatric medication reference guide is not appropriate for administering insulin to a diabetic client. Insulin dosages are typically based on the client’s blood glucose levels and individual needs, not standardized pediatric references. Ensuring patient safety requires accurate and individualized dosage calculations.
Choice B rationale
Relying on memory for dosage calculations is not a safe practice. Human memory is fallible, and errors in dosage calculations can have serious consequences for the client. It is essential to use reliable methods and double-check calculations to ensure accuracy and patient safety.
Choice C rationale
Asking another nurse to double-check calculations is the most appropriate action for ensuring patient safety. This practice helps to catch any potential errors and ensures that the correct dosage is administered. Double-checking calculations is a standard safety measure in medication administration.
Choice D rationale
Performing dosage calculations manually is important, but it should be combined with double- checking by another nurse. Manual calculations alone do not provide an additional layer of verification to catch potential errors. Ensuring patient safety requires both accurate calculations and verification by another healthcare professional.