Final answer:
The nurse should prioritize asking about the client's last blood glucose reading, as it provides critical information for managing type 1 diabetes, especially during pregnancy, and helps prevent complications from nausea which might indicate hypoglycemia or hyperglycemia.
Step-by-step explanation:
Importance of Monitoring Blood Glucose in Type 1 Diabetes
For a client diagnosed with type 1 diabetes at 29 weeks gestation and experiencing nauseated for 24 hours, it is most important for the nurse to ask, "What was your last blood glucose reading?" Regular monitoring of blood glucose levels is crucial for managing diabetes, especially during pregnancy, to prevent complications. Nausea could be a sign of hypoglycemia or hyperglycemia, both of which require prompt attention in pregnant individuals with type 1 diabetes.
Questions such as whether the client has vomited or when they last ate are also important, but determining the blood glucose level is a priority to guide immediate treatment decisions, such as the adjustment of insulin dosage or dietary intake. It is essential for individuals with diabetes to maintain their blood glucose within the normal range to avoid adverse outcomes for both the mother and the baby.
Understanding blood glucose readings provides insight into the current metabolic state and is vital in managing the condition effectively. This information helps in addressing the immediate health concern and preventing potential complications associated with uncontrolled diabetes during pregnancy.