Nursing Care Plan for Pregnant Client with Hyperglycemia

In this problem, we are looking at a pregnant client's diagnostic results. We need to identify three appropriate provider prescriptions that the nurse should plan to implement based on these findings.

Let's take a closer look at the diagnostic data provided in the chart.

Notice that the fasting blood glucose is significantly elevated at one hundred forty-two milligrams per deciliter, and the A one C of twelve percent indicates poor long term glycemic control. Furthermore, the presence of ketones in the urine is concerning. These findings are consistent with gestational or pre-existing diabetes.

Let's evaluate our first option: Encouraging the client to limit carbohydrate intake to forty percent of their daily calories. This is a standard nutritional recommendation for managing gestational diabetes to maintain stable blood sugar levels.

The second option suggests checking a random blood glucose level once daily. However, for a client with such poorly controlled glucose and ketonuria, more frequent and structured monitoring, like fasting and post-prandial checks, is usually required. So, we will skip this one.