A nurse is reinforcing discharge teaching with a client following outpatient cataract surgery.
Which of the following instructions should the nurse include in the teaching?

Choice A rationale

Countersigning the prescription within 72 hours is a legal requirement but does not directly verify the accuracy of the prescription during a telephone communication.

Choice B rationale

Verifying the medication name and purpose ensures accurate understanding and administration, reducing the risk of medication errors and adverse outcomes. This step is critical for patient safety.

Choice C rationale

Spelling out “B-I-D” is unnecessary and does not improve clarity. It is more effective to confirm the intended schedule “twice per day” to avoid misunderstandings.

Choice D rationale

Confirming the provider’s license number is not required during routine telephone orders and may distract from more important verifications for patient safety.

Choice A rationale

Stopping feeding for a client who becomes short of breath demonstrates clinical judgment rather than fidelity. Fidelity specifically involves loyalty and adherence to commitments made to the client, which is not evidenced in this action.

Choice B rationale

Telling a client she will return with a medication and doing so exemplifies fidelity. It demonstrates the nurse's reliability and dedication to fulfilling promises or commitments made to the client, building trust and maintaining professional integrity.

Choice C rationale

Dividing time and care evenly between clients highlights fairness rather than fidelity. While fairness ensures equal treatment, fidelity focuses on maintaining trust and honoring specific promises or commitments made to individuals.

Choice D rationale

Administering a pain medication to a client before ambulation reflects prioritization of care and pain management. However, it does not illustrate fidelity, which involves fulfilling promises or responsibilities that the nurse has explicitly committed to.