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 A
Explanation
Choice A reason: Understanding the reason for taking the aspirin is crucial because aspirin may be prescribed for various reasons, such as pain relief, anti-inflammatory purposes, or cardiovascular protection. Knowing the reason helps the nurse assess if ibuprofen is a suitable substitute or if additional interventions are needed.
Choice B reason: While the presence of gastric pain is important, it is secondary to understanding the underlying reason for aspirin use.
Choice C reason: Assessing the amount of pain control achieved with ibuprofen is important for managing the client's symptoms, but it is not the first priority.
Choice D reason: Knowing the dosage of ibuprofen taken is essential for determining if the client is taking an appropriate amount, but it comes after understanding the initial indication for aspirin use.
Correct Answer is D
Explanation
Choice A reason: Administering normal saline solution alone will not address the severe anemia caused by the low hemoglobin level.
Choice B reason: Obtaining additional consent is necessary, but it is not the immediate action required in this emergency situation.
Choice C reason: Rechecking the client's hemoglobin, blood type, and Rh factor is important, but the immediate priority is to address the severe anemia.
Choice D reason: Transfusing Type A negative blood is appropriate because it is compatible with AB negative blood and is necessary to treat the client's critical anemia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.