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

[CQXA]

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.

Question 2

Which statement correctly describes the relationship between practice guidelines and outcome standards?
 
  1. Practice guidelines help to focus care management for a condition, while outcome standards reflect a desired status for the client to reach.
   2. Practice guidelines help determine which procedures and tests are indicated, while outcome standards are statements of the end goals expected for a particular
  condition.
  3. Practice guidelines help steer the nurse's practice, while outcome standards are those goals a nurse can expect to achieve if the practice guidelines are followed.
   4. Practice standards are the nursing actions required for the nurse, while the
  outcomes standards are the goals a client can reach with a particular condition.

[tranoy]

Answer to Question 1

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.

Answer to Question 2

Answer: 2

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 of the client with the condition. There is no guarantee the client with the condition will reach the expected outcome. Practice guidelines are not related to the nurse's career, as suggestions for practice and outcome standards are not specific to the expectations of a career in nursing. In addition, practice standards do not specifically suggest nursing actions as much as the overall care management usually required by a client with a particular condition.