A client with diabetes is scheduled for surgery and will be fasting before the procedure. How should the nurse instruct the client about monitoring and adjusting insulin therapy on the day of surgery?
Continue with the regular insulin regimen as usual.
Skip insulin doses on the day of surgery to avoid hypoglycemia.
Decrease the insulin dose by half on the day of surgery.
Stop insulin therapy completely on the day of surgery.
The Correct Answer is A
Continue with the regular insulin regimen as usual. It is important for the client to maintain blood glucose control even on the day of surgery. The nurse should advise the client to follow the regular insulin regimen unless otherwise instructed by the healthcare provider.
Incorrect choices:
b. Skipping insulin doses can lead to hyperglycemia and unstable blood glucose levels, especially during fasting.
c. Decreasing the insulin dose without appropriate guidance can result in poor blood glucose control.
d. Stopping insulin therapy abruptly can lead to hyperglycemia and potential complications. Insulin adjustments should be made under healthcare provider supervision.
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Related Questions
Correct Answer is B
Explanation
Insulin pens should not be exposed to extreme temperatures, including heat, as it can affect their potency.
Incorrect choices:
a. Storing insulin vials in the refrigerator helps maintain their potency, but they can be kept at room temperature for up to 28 days once in use.
c. Checking the expiration date on insulin vials is important to ensure their effectiveness and safety.
d. Gently rolling the insulin vial between palms helps mix the insulin if it appears cloudy, but it should not be done with clear insulin.
Correct Answer is C
Explanation
Frequent hypoglycemic episodes indicate the need for a possible adjustment in insulin therapy. The nurse should work with the healthcare provider to modify the insulin regimen to better match the client's needs.
Incorrect choices:
a. Increasing the insulin dose without healthcare provider guidance may lead to further hypoglycemia and potential harm.
b. Consuming more carbohydrates may provide temporary relief from hypoglycemia but does not address the underlying insulin dosing issue.
d. Skipping meals can lead to unstable blood glucose levels and is not a recommended approach to managing insulin therapy.
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