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    Hesi Rn d446 adult care 0A1: med surg proctored exam (wgu)

    The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with type 2 diabetes mellitus (DM). Which outcome should the nurse include in the plan of care for this client? Reference Range: Glycosylated hemoglobin (A1C) [Good diabetic control: less than 7%]

    Explanation & Rationale

    A. The nurse will encourage the client to walk thirty minutes every day: Regular exercise is an important lifestyle intervention for managing type 2 diabetes, but it is an intervention, not a measurable outcome. Outcomes should reflect specific client achievements. B. The client's blood pressure readings will be less than 160/90 mm Hg: Blood pressure control is important in diabetes management, but this target is too high. Most recommendations for diabetics emphasize keeping BP below 140/90 mm Hg. C. The nurse will demonstrate the procedure for accurate eye care: Teaching eye care is helpful for preventing complications, but it again represents a nursing intervention, not a measurable client-centered outcome. Outcomes must focus on client health indicators. D. The client's hemoglobin A1C will be less than 7% in 3 months: This is a measurable, evidence-based outcome for clients with type 2 diabetes. Achieving an A1C below 7% reflects effective blood glucose control and directly reduces the risk of long-term complications, including vision changes.

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