A female client with type 2 diabetes has dysuria. Which finding should be reported to the healthcare provider?

The presence of a fingerstick glucose reading of 300 mg/dl is a critical finding that should be reported to the healthcare provider. This level of glucose indicates significant hyperglycemia, which can lead to severe complications in a patient with type 2 diabetes. High blood glucose levels can contribute to urinary symptoms, including dysuria, as they may promote urinary tract infections (UTIs) and other related complications.

Managing hyperglycemia is essential for controlling not only the symptoms presented but also for preventing further complications associated with diabetes, such as diabetic ketoacidosis or hyperglycemic hyperosmolar state, particularly in the context of infection or other stressors on the body. Thus, timely communication of this blood glucose reading to the healthcare provider is necessary for appropriate management and intervention.

The other findings, while potentially significant, do not indicate immediate concerns related to the management of diabetes. Suprapubic pain and distention could suggest a urinary tract issue but do not directly indicate an acute metabolic derangement. A bounding pulse at 100 beats/minute may reflect a physiological response to pain or anxiety rather than a direct consequence of the dysuria or glucose level. Small vesicular perineal lesions could be symptomatic of a local infection or irritation but would