What is the next step for a client with a random blood glucose level of 190 mg/dL?

The appropriate next step for a client with a random blood glucose level of 190 mg/dL is to call the health care provider for re-evaluation. This level indicates hyperglycemia, which may suggest underlying issues such as undiagnosed diabetes mellitus or other metabolic disturbances. The presence of elevated blood glucose levels necessitates a thorough assessment to determine the need for further testing, possible diagnosis, and management strategies, which may include medication adjustments or dietary changes.

In this context, it is crucial to involve the healthcare provider, as they can order additional tests such as fasting blood glucose levels or an HbA1c test to confirm diagnosis and guide appropriate treatment. Timely intervention is essential to prevent complications associated with sustained hyperglycemia.

While monitoring glucose levels at home, scheduling a follow-up appointment, or starting a glucose-friendly diet may be beneficial strategies in the long term, they do not address the immediate need for professional assessment and intervention prompted by the elevated blood glucose reading.