Which assessment finding is most important in determining nursing care for a client with diabetes mellitus?
A) Respirations of 12 breaths/minute
B) Cloudy urine
C) Blood sugar 170 mg/dL
D) Fruity breath
D
Feedback:
The rising ketones and acetone in the blood can lead to acidosis and be detected as a fruity odor on the breath. Ketoacidosis needs to be treated to prevent further complications such as Kussmaul's respirations (fast, labored breathing) and renal shutdown. A blood sugar of 170 mg/dL is not ideal but will not result in glycosuria and/or trigger the classic symptoms of diabetes mellitus. Cloudy urine may indicate a UTI.
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