A nurse is using the domains of learning to provide teaching to a client who has diabetes mellitus. Which of the following actions should the nurse take to utilize psychomotor learning?

A. Show the client a video about self-administration of insulin: Watching a video is a passive learning that primarily engages the cognitive domain. It provides information but does not allow the client to practice hands-on skills, which are needed for psychomotor learning.

B. Assist the client in discussing their feelings about having diabetes mellitus: Discussing feelings pertains to the affective domain, which focuses on emotions, attitudes, and values. It does not involve physical skills or actions, so it is not psychomotor learning.

C. Observe the client practice self-monitoring of blood glucose levels: Psychomotor learning involves acquiring skills through practice and demonstration. Observing the client perform self-monitoring of blood glucose levels allows the nurse to assess their ability to carry out the task and refine the skill through repetition.

D. Ask the client to attend a class about following a diabetic diet: Attending a class is more aligned with the cognitive domain, where the focus is on gaining knowledge. This action does not involve practicing physical skills necessary for psychomotor learning.

A. Speech therapy referral: A speech therapy referral is appropriate for a client with dysphagia following a stroke. Speech therapists can assess the severity of swallowing difficulties and provide strategies to improve swallowing function. This is standard care.

B. Dietitian consult: A dietitian consult is essential to ensure proper nutritional intake and modify the client's diet for safe swallowing. A dietitian can help adjust the texture of foods and recommend alternatives to reduce the risk of aspiration.

C. Oral suction at the bedside: Oral suctioning is a precautionary measure for clients with dysphagia to clear any potential obstructions from the airway. It’s essential to have suction equipment available at the bedside in case of choking or aspiration.

D. Clear liquids: Clear liquids are not recommended for clients with dysphagia because they pose a higher risk for aspiration. Clear liquids can be difficult for individuals with swallowing difficulties to control and may lead to choking or aspiration pneumonia.