Final answer:
An HbA1c level of 6.5% indicates that the plan of care for a client with type 2 diabetes mellitus is effective, as it reflects good blood glucose control over the previous months. This is below the recommended target of less than 7% to reduce complications associated with diabetes.
Step-by-step explanation:
Assessment of Diabetic Client's Plan of Care Effectiveness
In evaluating if a client with type 2 diabetes mellitus has an effective plan of care, one should consider several laboratory findings to assess blood glucose control and renal function. One key indicator is the HbA1c level, which reflects the average blood glucose level over the past 3 to 4 months. A target HbA1c of less than 7% is recommended for individuals with diabetes to reduce the risk of complications. Therefore, among the options given:
- Serum creatinine 1.5 mg/dL: This value is slightly elevated, indicating possible renal impairment but does not directly relate to glucose control.
- BUN 25 mg/dL: While this is towards the higher end of the normal range, it is not the best indicator of diabetes management.
- HbA1c 6.5%: This value indicates that the average blood glucose level has been relatively well-controlled over the last few months, thus reflecting effective diabetes management.
- Pre-meal blood glucose 145 mg/dL: This value is slightly elevated for pre-meal levels and may suggest a need for adjustment in the plan of care.
Therefore, HbA1c at 6.5% indicates the client's plan of care is effective in managing their type 2 diabetes mellitus. Continuous monitoring of both blood glucose and HbA1c levels is essential in managing diabetes effectively to reduce the risk of complications.