A 22-year-old man with type 1 diabetes and a below-knee cast uses a wheelchair at home. The RN taught insulin-pen use last week. Under the home-health agency plan, the LPN reinforces those instructions, observes technique and reports learning needs; the RN coordinates changes to the comprehensive teaching plan. During the visit the client says he cannot remember how to prime the pen. Which action should the LPN take?
- Ask him to read the priming directions aloud and accept that as evidence that he can use the pen.
- Replace the comprehensive diabetes teaching plan independently and arrange for the RN to review it at the next team meeting.
- Reinforce the established instructions, observe his return demonstration and report persistent difficulty to the RN.
- Record his difficulty in the visit note and leave further teaching for the next scheduled visit.