The nurse is developing a plan of care for an older male client with type 2 diabetes who reports blurred vision. Which outcome should the nurse include in the plan of care for this client?
The client's family will state signs and symptoms about the disease.
The client will express acceptance of his changing health status.
The nurse will demonstrate the procedure for accurate eye care.
The client's daily blood pressure will be less than 140/80 mm Hg this month.
The Correct Answer is D
Choice A reason: While it is important for the client's family to understand signs and symptoms of diabetes, this outcome focuses on the family's knowledge rather than the client's health improvement.
Choice B reason: Expressing acceptance of changing health status is important for emotional well-being, but it does not directly address the client's physical health outcomes.
Choice C reason: Demonstrating accurate eye care procedures is part of nursing interventions, not an outcome.
Choice D reason: Maintaining blood pressure below 140/80 mm Hg is a specific, measurable, and relevant outcome for a client with type 2 diabetes, as it helps prevent complications related to hypertension and diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["12.5"]
Explanation
Calculation Steps:
Step 1: Convert grams to milligrams: 1.5 grams × 1000 mg/gram = 1500 mg. Result = 1500 mg.
Step 2: Calculate the dose per administration: 1500 mg/day ÷ 3 doses/day = 500 mg/dose. Result = 500 mg/dose.
Step 3: Determine the volume for each dose: 200 mg/5 mL = 40 mg/mL, 500 mg ÷ 40 mg/mL = 12.5 mL.
Result = 12.5 mL.
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: Measuring the client's vital signs before walking helps ensure the client's stability and readiness for activity.
Choice B reason: Determining the need for a gait belt is typically the responsibility of the nurse, not the UAP.
Choice C reason: Reporting dizziness or lightheadedness is important for monitoring the client's response to activity and preventing falls.
Choice D reason: Instructing the client about orthostatic hypotension is not within the scope of practice for a UAP.
Choice E reason: Assisting the client to void before walking can prevent discomfort and the need for an urgent restroom break during the activity.
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