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 should the nurse tell the patient?
A) "Make sure to stick to your normal diet."
B) "Try to eat small amounts of carbs, if possible."
C) "Ensure that you check your blood glucose every hour."
D) "For now, check your urine for ketones every 8 hours."
Ans: B
Feedback:
For prevention of DKA related to illness, the patient should 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.
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