If the nurse admits a client with chronic asthma with status asthmaticus, which chart notation is the practice guideline?
1. "The client will maintain oxygen saturations above 93%."
2. "The client will identify asthma triggers before discharge."
3. "Obtain a chest x-ray now and tomorrow morning."
4. "The client's family will describe needed changes in home environment."
Answer: 3
Rationale: Practice guidelines help guide client care management in an attempt to avoid unnecessary tests and procedures for a particular condition. Outcome standards are the expected results of the care management. The practice guideline in this situation is the chest x-ray, as it specifies the need for the test. Maintaining oxygen saturation, identifying triggers, and describing needed environmental changes are all examples of outcome standards, as they are the goals of care management.
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