Difficulty: Medium
Average Score: 91%
Simulated
The nurse is developing a plan of care (POC) for a client with type 2 diabetes mellitus (DM) who reports intermittent claudication in the legs. Which outcome should the nurse include in the POC for this client?
Correct answer
B
Rationale
Intermittent claudication is pain caused by inadequate blood flow to the muscles, a complication of peripheral arterial disease (PAD) common in diabetes. A primary goal is to prevent tissue damage and ulceration in the compromised limbs. An outcome stating the client's skin will remain intact is a measurable, client-focused goal that directly addresses the risk associated with PAD. While acceptance of health status (A) is a psychosocial consideration, it is not the primary physical outcome for this specific problem. Showing the client how to check blood glucose (C) and instructing the family on diet (D) are nursing interventions, not client outcomes for the problem of intermittent claudication.