Page 1422 - Saunders Comprehensive Review For NCLEX-RN

BUN, Blood urea nitrogen; HCO , bicarbonate; K, potassium; Na, sodium.
3

From Ignatavicius D, Workman M: Medical-surgical nursing: patient-centered
collaborative care, ed 7, St. Louis, 2013, Saunders.

Box 46-16

Client Education: Guidelines During Illness

▪ Take insulin or oral antidiabetic medications as prescribed.
▪ Determine the blood glucose level and test the urine for ketones every 3 to 4
hours.
▪ If the usual meal plan cannot be followed, substitute soft foods 6 to 8 times a
day.

▪ If vomiting, diarrhea, or fever occurs, consume liquids every 30 to 60 minutes to
prevent dehydration and to provide calories.
▪ Notify the primary health care provider if vomiting, diarrhea, or fever persists; if
blood glucose levels are higher than 250 to 300 mg/dL (13.9 to 16.7 mmol/L);
when ketonuria is present for more than 24 hours; when unable to take food or
fluids for a period of 4 hours; or when illness persists for more than 2 days.

Box 46-17

Preventive Foot Care Instructions

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