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 C
Explanation
Mealtime insulin is rapid-acting or short-acting insulin administered before or after meals to control postprandial glucose levels.
Incorrect choices:
a. Mealtime insulin is usually administered multiple times a day, not as a single daily injection.
b. Mealtime insulin is not typically a long-acting insulin; it is rapid-acting or short-acting insulin.
d. Mealtime insulin is administered before or after each meal, not only for the evening meal.
Correct Answer is B
Explanation
Subcutaneous injection has a slower onset of action compared to IV infusion and is the most common route for insulin administration.
Incorrect choices:
a. IM injection is not a common route for insulin administration and has a slower onset than subcutaneous injection.
c. IV infusion provides a rapid onset of action, making it inappropriate for routine insulin administration.
d. Inhalation is not a typical route for insulin administration. It is used for specific types of medications, not insulin.
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