9. A client, who is nondiabetic and receiving 5% dextrose in one-half normal saline (D5 ½ NS) running at 125 mL/hr, has a blood sugar of 130 mg/dL on the morning chemistry panel. The client is concerned. It is most important for the nurse to:
9. A client, who is nondiabetic and receiving 5% dextrose in one-half normal saline (D5 ½ NS) running at 125 mL/hr, has a blood sugar of 130 mg/dL on the morning chemistry panel. The client is concerned. It is most important for the nurse to:
. Provide diabetic teaching to the client who is newly diagnosed.
. Check another blood sugar and ask the physician about insulin.
. Explain the consequences of stress and IV fluids on blood sugar level.
. Keep the client NPO.
Test-Taking Tip
Choose the option that best addresses the client's concern: information.
Content Area: Adult Health, Endocrine; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
.
Answer 1 is incorrect because this slight elevation in blood sugar may reflect a neuroendocrine response to stress or may be a result of the intravenous sugar. Additional testing would be required to determine if the client is prediabetic. Answer 2 is incorrect because insulin is not required for this slight elevation in blood glucose. Answer 3 is correct because this slight elevation in blood sugar may reflect a neuroendocrine response to stress or may be a result of the intravenous sugar. Additional testing would be required to determine if the client is prediabetic. Answer 4 is incorrect because NPO status in not indicated.