The nurse is monitoring the blood glucose levels of a client with a closed head injury to maintain the client in a euglycemic state. The nurse can best accomplish this goal by:
1. Administering insulin to keep glucose blood levels between 80 and 120 mg/dl.
2. Assessing the blood glucose levels every 4 hours by glucometer testing.
3. Minimizing the client's energy requirements by anticipating and meeting needs promptly.
4. Arranging for a diet that allows for carbohydrate loading.
Administering insulin to keep glucose blood levels between 80 and 120 mg/dl.
Rationale: A euglycemic state refers to one where blood glucose levels are kept between 80 and 120 mg/dl. Administering insulin, which facilitates the proper utilization of glucose, will be the most beneficial intervention in maintaining normal glucose levels (80–120 mg/dl). While monitoring the client's blood glucose every 4 hours is appropriate, it does not bring about normal blood glucose levels. Minimizing energy requirements by anticipating and meeting needs promptly is an appropriate intervention for such a client, but it will have no affect on blood glucose control. Carbohydrate loading or the ingestion of large amounts of carbohydrates will contribute to the elevation of blood glucose levels.
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