The nurse should instruct clients with diabetes about "sick day management" of their disease by emphasizing which action?
Use sliding scale insulin to manage hypoglycemia.
Continue taking the scheduled insulin or oral hypoglycemic agent.
Increase intake of carbohydrates for the duration of the illness.
Report blood glucose lower than 100 mg/dL to the health care provider.
The Correct Answer is B
A. Use sliding scale insulin to manage hypoglycemia: Sliding scale insulin is used to manage hyperglycemia, not hypoglycemia. Sick day management focuses on maintaining stable blood glucose levels, not using sliding scale insulin for hypoglycemia.
B. Continue taking the scheduled insulin or oral hypoglycemic agent: During illness, it is essential for clients with diabetes to continue their medication as prescribed. This helps prevent both hyperglycemia and ketosis, which can occur due to illness-induced stress.
C. Increase intake of carbohydrates for the duration of the illness: It is not necessary to increase carbohydrate intake unless the client is unable to eat enough food. It’s more important to maintain hydration and monitor blood glucose levels, adjusting insulin doses as needed.
D. Report blood glucose lower than 100 mg/dL to the health care provider: Blood glucose levels below 100 mg/dL are generally considered within normal range. During illness, clients may experience higher blood glucose levels, which are more concerning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["13"]
Explanation
Calculation:
- Determine the regular insulin dose based on the sliding scale.
The patient's blood glucose before lunch is 278 mg/dL.
According to the sliding scale:
Blood glucose 250-299 mg/dL: 6 units
Therefore, the regular insulin dose is 6 units.
- Calculate the insulin glargine (Lantus) dose.
Client weight = 70 kg.
Prescription for insulin glargine = 0.1 units/kg once daily.
Insulin glargine dose = 0.1 units/kg × 70 kg = 7 units.
- Calculate the total units of insulin to administer.
Total units = Regular insulin units + Insulin glargine units
Total units = 6 units + 7 units
= 13 units.
Correct Answer is B
Explanation
A. Use sliding scale insulin to manage hypoglycemia: Sliding scale insulin is used to manage hyperglycemia, not hypoglycemia. Sick day management focuses on maintaining stable blood glucose levels, not using sliding scale insulin for hypoglycemia.
B. Continue taking the scheduled insulin or oral hypoglycemic agent: During illness, it is essential for clients with diabetes to continue their medication as prescribed. This helps prevent both hyperglycemia and ketosis, which can occur due to illness-induced stress.
C. Increase intake of carbohydrates for the duration of the illness: It is not necessary to increase carbohydrate intake unless the client is unable to eat enough food. It’s more important to maintain hydration and monitor blood glucose levels, adjusting insulin doses as needed.
D. Report blood glucose lower than 100 mg/dL to the health care provider: Blood glucose levels below 100 mg/dL are generally considered within normal range. During illness, clients may experience higher blood glucose levels, which are more concerning.
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