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.
ANSWER
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.
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