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 A
Explanation
An insulin-to-carbohydrate ratio (ICR) of 1:10 means that for every 1 unit of insulin, the client should consume 10 grams of carbohydrates to help manage postprandial glucose levels.
Incorrect choices:
b. Injecting 10 units of insulin for every 1 gram of carbohydrates would result in excessive insulin dosing and potential hypoglycemia.
c. Consuming 10 units of insulin for every 1 unit of carbohydrates would lead to excessive insulin administration and hypoglycemia.
d. Injecting 1 unit of insulin for every 10 grams of carbohydrates would result in insufficient insulin dosing and potentially high blood glucose levels.
Correct Answer is B
Explanation
While orange juice can raise blood sugar quickly, it can also cause a rapid spike and subsequent crash, leading to further hypoglycemia.
Incorrect choices:
a. Keeping glucose tablets or gel on hand is a recommended practice to rapidly raise blood sugar in case of hypoglycemia.
c. Eating a high-protein snack can help stabilize blood sugar and prevent it from dropping too low.
d. Following up with a healthcare provider about frequent episodes of hypoglycemia is important to adjust insulin therapy and prevent future episodes.
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