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
Insulin glargine (Lantus) is a long-acting insulin that should not be mixed with other types of insulin in the same syringe.
Incorrect choices:
a. Insulin glargine (Lantus) is a U-100 insulin and should be administered using a U-100 insulin syringe.
b. Lantus can be injected into the abdomen, thigh, or upper arm to ensure consistent absorption and to prevent lipohypertrophy.
d. Injecting Lantus at the same time each day helps maintain consistent blood sugar levels and optimize its effectiveness.
Correct Answer is D
Explanation
Long-acting insulin provides a steady baseline level of insulin, mimicking the body's basal insulin secretion.
Incorrect choices:
a. Rapid-acting insulin is used to control post-meal glucose spikes.
b. Short-acting insulin is used to cover mealtime glucose elevations.
c. Intermediate-acting insulin provides coverage beyond mealtime but does not mimic basal insulin as closely as long-acting insulin.
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