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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Those with type 1 diabetes and some with type 2 diabetes. Individuals with type 1 diabetes require insulin therapy, and some individuals with type 2 diabetes may need insulin if other treatments are not effective.
Incorrect choices:
a. Individuals with normal blood glucose levels do not require insulin therapy.
b. Allergies to insulin are extremely rare, and insulin therapy can still be considered after careful evaluation.
d. Insulin therapy may be considered for gestational diabetes if blood glucose levels are not well-controlled with diet and exercise, but it is not the first-line treatment.
Correct Answer is B
Explanation
Fasting hyperglycemia suggests insufficient basal insulin coverage. Adjusting the basal insulin dose can help stabilize fasting blood glucose levels.
Incorrect choices:
a. Administering rapid-acting insulin after meals targets postprandial glucose levels, not fasting hyperglycemia.
c. Skipping meals is not a recommended approach and may lead to further blood glucose imbalances.
d. Decreasing insulin doses may worsen hyperglycemia and is not appropriate without healthcare provider guidance.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.