A type 2 diabetic patient is admitted to the hospital with a gastrointestinal illness and a blood glucose of 480 mg/dL. After stabilizing the patient, what action by the nurse is best?
a. Educate the patient on safe food handling.
b. Ask if the patient took the diabetic medi-cation.
c. Teach the patient ways to avoid dehydra-tion
d. Delegate frequent blood sugars to the aide.
B
A frequent cause of hyperglycemia requiring hospitalization in diabetics is poor sick day man-agement. The type 2 diabetic still makes insulin and so needs antihyperglycemic drugs even when ill. The nurse assesses the diabetic's knowledge of sick day management. The other options are appropriate but not the priority. Better sick day management can possibly keep the patient from further, similar, hospitalizations.
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