The nurse admitting a patient who is insulin dependent to the same-day surgical suite for carpal tunnel surgery. How should this patient's diagnosis of type 1 diabetes affect the care that the nurse plans?
A) The nurse should administer a bolus of dextrose IV solution preoperatively.
B) The nurse should keep the patient NPO for at least 8 hours preoperatively.
C) The nurse should initiate a subcutaneous infusion of long-acting insulin.
D) The nurse should assess the patient's blood glucose levels vigilantly.
Ans: D
Feedback:
The patient with diabetes who is undergoing surgery is at risk for hypoglycemia and hyperglycemia. Close glycemic monitoring is necessary. Dextrose infusion and prolonged NPO status are contraindicated. There is no specific need for an insulin infusion preoperatively.
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