A client with diabetes had a normal glucose level in the morning but is demonstrating signs of a low blood glucose level now. Which of the following interventions would be considered as nonstandardized for the care of this client?
1. Assess the client's blood glucose level now and intervene accordingly.
2. Assess the client's blood glucose level at the scheduled time.
3. Provide the client with scheduled medications.
4. Asses for pain and provide medication as appropriate.
Assess the client's blood glucose level now and intervene accordingly.
Rationale: The measuring of a client's blood glucose level can either be standardized or nonstandardized. The measurement is standardized when it is prescribed and done at predetermined times according to medication and meals. The client is demonstrating a symptom of a low blood glucose level at a time that does not correspond with prescribed times, medications, or meals. The nurse should assess the client's blood glucose level now and intervene accordingly. The nurse should not wait to assess the client nor ignore the client's symptoms and provide medications. There is no evidence to suggest that this client is demonstrating pain.
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