A client with diabetes mellitus taking daily NPH insulin has been started on therapy with dexamethasone (Decadron). The nurse anticipates that which of the following adjustments in medication dosage will be made?
1. Decreased NPH insulin
2. Increased NPH insulin
3. Lower dose of dexamethasone (Decadron) than usual
4. Higher dose of dexamethasone (Decadron) than usual
2
Rationale: Dexamethasone is a glucocorticoid (corticosteroid) and therefore can elevate the blood glucose level. Diabetic clients may need their dosage of insulin or oral hypoglycemic medications increased during glucocorticoid therapy. This is most often a temporary change, needed to compensate for the actions of the medication.
You might also like to view...
Sexually transmitted diseases (STDs) are illnesses frequently discussed with older adults
Indicate whether the statement is true or false
The nurse assessing acutely ill clients who are at risk for multiple organ dysfunction syndrome (MODS) would assess for the usual precipitating manifestation of
a. bradycardia. b. cerebral anoxia. c. high creatinine level. d. hypotension.
A nurse is caring for a patient with a subclavian central line who is receiving parenteral nutrition (PN). In preparing a care plan for this patient, what nursing diagnosis should the nurse prioritize?
A) Risk for Activity Intolerance Related to the Presence of a Subclavian Catheter B) Risk for Infection Related to the Presence of a Subclavian Catheter C) Risk for Functional Urinary Incontinence Related to the Presence of a Subclavian Catheter D) Risk for Sleep Deprivation Related to the presence of a Subclavian Catheter
The nurse manager was reprimanding the nursing assistant for clocking in late 3 days in a row. Which statement indicates the greatest source of stress for the nursing assistant?
a. "I'm sorry I am late. I have no excuse." b. "I'm not the only one who clocks in late." c. "I'm getting married this weekend." d. "I need to get my cup of coffee."