A client with type 1 diabetes has a blood glucose level of 160 mg/dL on arrival at the operating room. Which is the nurse's best action?

a. Document the finding in the client's chart.
b. Administer a bolus of regular insulin IV.
c. Call the physician to cancel the operation.
d. Draw blood gases to assess the metabolic state.


A
Clients who have type 1 diabetes and are having surgery have been found to have fewer compli-cations, lower rates of infection, and better wound healing if blood glucose levels are maintained at between 140 and 180 mg/dL throughout the perioperative period. The nurse should document the finding and proceed with other operative care. The need for a bolus of insulin, for canceling the operation, or for drawing arterial blood gases (ABGs) is not present.

Nursing

You might also like to view...

Which of the following are components of the musculoskeletal system? Select all that apply

a. Platelets d. Joints b. Bones e. Skeletal muscles c. Fascia f. Connective tissue

Nursing

To inspect the vaginal walls, you should first disengage the locking device of the vaginal speculum and then withdraw the speculum

a. while rotating the speculum into an oblique position. b. as you slowly open the blades wider. c. as you slowly rotate the speculum clockwise. d. with the blades closed.

Nursing

The client arrives in the postanesthesia care unit after a cardiac catheterization to assess the right atrium. Which client data is the nurse's priority to assess perfusion of the affected extremity after the procedure?

1. Checks the left femoral region for bleeding 2. Monitors client vital signs every 15 minutes 3. Applies direct pressure at the client's IV site 4. Palpates the right femoral artery for pulsations

Nursing

A patient with asthma is given an asthma action plan and returns to the clinic in 2 weeks to follow up on symptoms. Which statement by the patient indicates a need for further teaching?

a. "I use the ICS as needed when I am wheezing." b. "A side effect of albuterol may be shortness of breath." c. "I should rinse my mouth thoroughly after using an ICS." d. "I put the albuterol metered-dose inhaler in my mouth with my lips sealed around it."

Nursing