The nurse has identified a nursing diagnosis of knowledge deficit regarding the need to monitor blood glucose levels daily. Which of the following statements best reflects the client's under-standing of the need for therapy?
1. Client agrees to test blood glucose levels 4 times a day.
2. Client records blood glucose levels for a 3-week period.
3. Client is observed testing his blood glucose level before breakfast.
4. Client is able to demonstrate the proper technique for performing a finger stick.
ANS: 2
During the planning phase of the nursing process it is important for you to select an observable client state, behavior, or self-reported perception that will reflect goal achievement. The actual written result of regular blood glucose monitoring is the best indicator of the client's under-standing of the importance of regular testing. The remaining options may show initial willingness or ability to perform the test but do not show consistent compliance.
You might also like to view...
Males and females differ in alcohol consumption patterns
Indicate whether the statement is true or false
Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal muco-sa. The signs of NEC are nonspecific. Some generalized signs include:
a. Hypertonia, tachycardia, and metabolic alkalosis. b. Abdominal distention, temperature instability, and grossly bloody stools. c. Hypertension, absence of apnea, and ruddy skin color. d. Scaphoid abdomen, no residual with feedings, and increased urinary output.
A woman is diagnosed with having a stillborn. At first, she appears stunned by the news, cries a little, and then asks you to call her mother. The phase of bereavement the woman is experiencing is called:
1. anticipatory grief. 2. acute distress. 3. intense grief. 4. reorganization.
The development of diabetic foot ulcers is dependent on which of the following? (Select all that apply.)
a. Peripheral neuropathy b. Tissue ischemia c. Trauma to the foot d. Pain in the affected extremity