When the nurse is giving instructions for discharge,he notices that the television is on and he is eating a meal.The best thing for the nurse to do to ensure that the patient's discharge teaching is understood is to:

A) Review all important discharge teaching while in the room
B) Ask whether the patient has any questions about the discharge
C) Inform the patient that the instructions are on the discharge sheet
D) Arrange another time with the patient to review the discharge teaching

The nurse understands that multiple distractions in the client's room,including having the television on and eating a meal,can be barriers to learning.The nurse must assess each situation to identify the best time to effectively teach the client.Therefore,the nurse identifies that there are too many distractions at that time and speaks to the client to determine a mutually agreeable time for the discharge teaching to be done.Attempting to review previous teaching will be less effective with the many distractions occurring in this scenario.Trying to discuss the discharge teaching in front of the client's family and friends may be revealing information the client prefers to keep private.Providing a client a written set of instructions does not guarantee understanding of the information and it is imperative for the nurse to review all of this information with the client before discharge.