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.
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