A patient with cystic fibrosis (CF) has blood glucose levels that are consistently between 180 to 250 mg/dL. Which nursing action will the nurse plan to implement?
a. Discuss the role of diet in blood glucose control.
b. Teach the patient about administration of insulin.
c. Give oral hypoglycemic medications before meals.
d. Evaluate the patient's home use of pancreatic enzymes.
ANS: B
The glucose levels indicate that the patient has developed CF-related diabetes, and insulin therapy is required. Because the etiology of diabetes in CF is inadequate insulin production, oral hypoglycemic agents are not effective. Patients with CF need a high-calorie diet. Inappropriate use of pancreatic enzymes would not be a cause of hyperglycemia in a patient with CF.
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