When performing an assessment, the nurse detects a fruity odor on the client's breath. What does the nurse do next?
a. Assess the client's blood sugar level.
b. Assess the client's stool for occult blood.
c. Instruct the client in oral hygiene tech-niques.
d. Assess the client for petechiae, itching, and jaundice.
A
A fruity odor to the breath may indicate uncontrolled or undiagnosed diabetes mellitus. The client's blood sugar level should be checked immediately for hyperglycemia. The nurse may perform the other assessment tests for the client, but they will not be helpful in determining the cause of the fruity breath.
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