A diabetes nurse educator is teaching a group of patients with type 1 diabetes about "sick day rules." What guideline applies to periods of illness in a diabetic patient?
A) Do not eliminate insulin when nauseated and vomiting.
B) Report elevated glucose levels greater than 150 mg/dL.
C) Eat three substantial meals a day, if possible.
D) Reduce food intake and insulin doses in times of illness.
Ans: A
Feedback:
The most important issue to teach patients with diabetes who become ill is not to eliminate insulin doses when nausea and vomiting occur. Rather, they should take their usual insulin or oral hypoglycemic agent dose, then attempt to consume frequent, small portions of carbohydrates. In general, blood sugar levels will rise but should be reported if they are greater than 300 mg/dL.
You might also like to view...
A patient is being discharged from the hospital and is receiving patient education about medications, including vitamin C (ascorbic acid). Which symptom would indicate excessive doses of vitamin C?
a. Constipation b. Seizure activity c. Excessive bleeding tendencies d. Gastrointestinal disturbances
If a PHN had the capabilities required in the domains of the PHN Core Competencies, he or she would be able to do which of the following? Select all that apply
A. Develop policy for handling a local quarantine. B. Understand the dietary restrictions of new immigrants. C. Create a financial plan for a clinic and manage the budget. D. Function as a medical doctor at a clinic if there is none. E. Work with corporations to create an emergency response program to bioterrorism.
What is the name of the chemicals that allow nerve impulses to cross the synaptic cleft?
1. Neurotransmitters 2. Neurons 3. Autonomic drugs 4. Presynaptic neurons
A client diagnosed with neurocognitive disorder exhibits progressive memory loss, diminished cognitive functioning, and verbal aggression upon experiencing frustration. Which nursing intervention is most appropriate?
A. Schedule structured daily routines. B. Minimize environmental lighting. C. Organize a group activity to present reality. D. Explain the consequences for aggressive behaviors.