A patient who has diabetic nephropathy asks the nurse, "Why am I using smaller doses of insulin than I used to?" What would be the best explanation by the nurse?
a. "Insulin is now more potent than it used to be."
b. "It would be best if you spoke with your physician about this."
c. "You have probably decreased the amount of food you are eating."
d. "Your kidneys are no longer breaking down the insulin as much as before."
ANS: D
As renal function decreases, the patient needs smaller doses of insulin because the kidney normally degrades insulin. A. Insulin is not more potent than it used to be. B. The nurse can explain why the dosage of insulin has changed. C. There is no evidence that the patient has changed the amount of food being ingested.
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