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 D
Explanation
Choice A reason: Researching the religion on social media is not a reliable or appropriate method for understanding individual care needs.
Choice B reason: Consulting with a nurse who shares the same religious beliefs may provide insight but does not address the specific concerns of the client.
Choice C reason: Explaining that every client receives the same high level of care does not address the client's individual religious needs and concerns.
Choice D reason: Asking the client about individual care preferences ensures that the nurse understands and respects the client's specific religious beliefs and practices.
Correct Answer is C
Explanation
Choice A reason: Activity intolerance is important but not the highest priority immediately after surgery.
Choice B reason: Fluid volume excess can be a concern but is not as critical as ensuring effective airway clearance.
Choice C reason: Ineffective airway clearance is the highest priority as it directly impacts the client’s ability to breathe and maintain adequate oxygenation, which is crucial for postoperative recovery.
Choice D reason: Altered nutrition is also important but is not the immediate priority compared to airway clearance.
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