The nurse admits a client with insulin-dependent diabetes mellitus. Wh

QUESTION

The nurse admits a client with insulin-dependent diabetes mellitus. When documenting, which of the statements by the nurse is an outcome standard?

1. “The client will maintain a HbA1C of <6.5%." 2. "Limit carbohydrates to 30 g for meals and 15 g for snacks." 3. "Check glucose levels before administering ordered insulin." 4. "Monitor glucose levels more frequently during illness."   ANSWER: Answer: 1 Rationale: Outcome standards are goals the client is expected to reach with proper nursing and home care. The client's HbA1C of <6.5% is an example of the desired outcome for the client. Limiting carbohydrates, checking glucose levels before insulin administration, and monitoring glucose levels more frequently during illness are all examples of clinical practice guidelines, as they represent client care management.