The nurse is identifying patient demographic groups that are at increased risk for needing insulin to control blood sugar

Question

Which patient groups would the nurse identify? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Patients who are fasting or malnourished
2. Patients with type 2 diabetes who are diagnosed with an infection
3. Patients with type 2 diabetes who are undergoing surgical procedures
4. Patients with gestational diabetes
5. Patients receiving total parenteral nutrition

Answer 1

2,3,4,5
Rationale 1: Fasting and malnourished patients are more likely to be hypoglycemic.
Rationale 2: Stressors such as infection may cause hyperglycemic reactions in persons with type 2 diabetes. Temporary use of insulin may be indicated.
Rationale 3: Stressors such as surgery may cause hyperglycemic reactions in persons with type 2 diabetes. Temporary use of insulin may be indicated.
Rationale 4: Patients with gestational diabetes may require insulin therapy.
Rationale 5: People who are receiving high-calorie tube feedings or parenteral nutrition will likely require insulin for blood glucose control.