A client with diabetes has frequent blood glucose readings higher than 300 mg/dL. Which action does the nurse teach the client about self-care?
a. Check urine ketones when blood glucose readings are high.
b. Increase the insulin dose after two high glucose readings in a row.
c. Change the diet to include a 10% increase in protein.
d. Work out on the treadmill whenever glu-cose readings are high.
A
Urine should be tested for ketone bodies whenever the client has a blood glucose higher than 300 mg/dL; is acutely ill, under stress, pregnant, or participating in a weight reduction program; or has symptoms of ketoacidosis (nausea, vomiting, and abdominal pain). The client should not change diet and insulin dosages without input from the health care provider. The client should not exercise when blood glucose is higher than 250 mg/dL.
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