A diabetic patient calls the clinic complaining of having a "flu bug." The nurse tells him to take his regular dose of insulin. What else would the nurse tell the patient?
A) Eat as you regularly would.
B) Try drinking juice, regular soda, and eating gelatin frequently and in small portions.
C) Check your blood glucose every hour.
D) Check your urine ketones every 8 hours.
Ans: B
Feedback: For prevention of DKA related to illness, "sick day" rules for managing diabetes when ill (Chart 41-9) should be reviewed. The most important concept in this is to never eliminate insulin doses when nausea and vomiting occur. Instead, the patient should take the usual insulin dose (or previously prescribed special "sick day" doses) and then attempt to consume frequent small portions of carbohydrates (including foods usually avoided, such as juices, regular sodas, and gelatin). Drinking fluids every hour is important to prevent dehydration. Blood glucose and urine ketones must be assessed every 3 to 4 hours.
You might also like to view...
The nurse is teaching the student nurse the sequence for performing the assessment techniques during a physical examination. What is the appropriate order?
A) Inspection, palpation, percussion, auscultation B) Inspection, percussion, palpation, auscultation C) Palpation, percussion, inspection, auscultation D) Inspection, auscultation, palpation, percussion
Immune thrombocytopenia purpura (ITP) is an immune disease marked by a decrease in the number of platelets due to:
1. Destruction by antibodies produced against a client's own platelets. 2. An overproduction of reticulocytes. 3. An overproduction of neutrophils. 4. A reaction to heparin therapy.
A male patient tells a nurse that he drinks a six-pack of beer a day. When the nurse begins to question him further about his alcohol consumption, he says, "You sound like my wife. She's always nagging me to quit
It's only beer!" Which response by the nurse is most appropriate? a. "Because the alcohol in beer is diluted in a larger volume, it is absorbed more slowly." b. "Have you considered switching to wine? It has chemicals that protect your heart." c. "The amount you drink is equivalent to six shots of whiskey each day." d. "You could try to cut the amount in half to a level that is better for your health."
What are the most common side effects of alpha blockers?
a. Shakiness and tremors b. Leg and ankle swelling c. Constipation and nausea d. Dizziness and drowsiness