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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Applying alcohol before lancing can affect the accuracy of blood glucose readings.
Incorrect choices:
a. Cleaning hands with soap and water before using the glucose meter is a good practice to ensure accurate readings.
b. Applying a lancet to the side of the fingertip is a correct technique to obtain a blood sample for glucose testing.
d. Testing blood sugar regularly, regardless of symptoms, helps monitor and manage glucose levels effectively.
Correct Answer is C
Explanation
Intermediate-acting insulin appears cloudy due to its composition and requires proper mixing before administration.
Incorrect choices:
a. Rapid-acting insulin is clear in appearance.
b. Short-acting insulin is clear in appearance.
d. Long-acting insulin is clear in appearance.
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