Week 6: Glucose Regulation
Temperature of 102.2
After review the chart of a patient who has just been prescribed a glucocorticoid, which finding will cause the nurse to notify the healthcare provider?
7.20 and 460mg/dL (25.5 mmol/L)
A child with type 1 diabetes is exhibiting deep, rapid respirations, flushed, dry cheeks; abdominal pain with nausea; and increased thirst. Which blood pH and glucose level would the nurse expect the laboratory tests to reveal?
"Those brown spots result from small blood vessel damage; the blood contains iron, which leaves a brown spot."
A client with type 1 diabetes asks what causes several brown spots on the skin. What would be the best response by the nurse?
Cataracts
A nurse instructs a patient taking long-term glucocortocoid therapy to have eye examination every 6 months. What is the nurse trying to prevent?
Note the contraindication and clarify the order with the provider
The nurse is screening a patient before administering a live virus vaccine. The patient is currently taking a glucocorticoid medication. Which should the nurse?
Serum potassium levels for hypokalemia
When assessing for a potential adverse effects in a patient taking glucocorticoid and digoxin, what is a priority assessment?
Polyuria
When obtaining a health history from a client recently diagnosed with type 1 diabetes, the nurse expects the client to report which clinical manifestation?
The dosage will be tapered off gradually
When planning care for a patient who will be discontinuing glucocorticoid therapy, which schedule change does the nurse anticipate?
Somatostatin
Which hormone would the nurse identify as inhibiting insulin and glucagon secretion?
"You will need to be sure you eat as soon as you take this medication."
Which information should the nurse include in the teaching plan for a patient who has been prescribes repaglinide?
Lactic acidosis
Which is a rare but potentially fatal complication of metformin use in the management of type 2 diabetes mellitus?
Stimulates the pancreas to produce insulin
Which mechanism of action explains how gylburide decreases serum glucose level?
Tolbutamide
Which medication is responsible for neonatal hypoglycemia?
"I will take the medication only when I need it."
Which statement indicates that the patient needs additional teaching on oral hypoglycemic agents?
-My vision is blurry -My stool are very dark and sticky
Which statements, if made by a patient undergoing long-term glucocortcoid therapy, would prompt the nurse to investigate further?
Being 20lbs overweight
While obtaining the clients health history, which factor would the nurse identify that predisposes the client to type 2 diabetes?
