The nurse is reviewing a client's urinalysis and notes a positive glucose. Which action by the nurse is best?
a. Document the finding and call the health care provider.
b. Collect and send another urinalysis sample to the laboratory.
c. Review the client's recent dietary selec-tions.
d. Perform a finger stick blood glucose on the client.
D
Glucose normally is not found in the urine. The normal renal threshold for glucose is about 220 mg/dL, which means that a person whose blood glucose is less than 220 mg/dL will not have glucose in the urine. A positive finding for glucose on urinalysis indicates high blood sugar. The most appropriate action would be to perform a finger stick blood glucose. If facility policy does not allow that action, calling the provider would be best. The client needs further evaluation for this abnormal result.
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