PATHO EXAM 2 review
A 63-year-old patient with type two diabetes admitted to the nursing unit with an infected foot ulcer. Despite previous good control on glyburide his blood glucose has been elevated the past several days and he requires sliding scale insulin. What is the most likely reason for the elevated glucose levels? A. it is a temporary condition related to the stress response with increase glucose release B. he is converting to a type one diabetic C. The oral antidiabetic drug is no longer working for him D. patients with diabetes were admitted to the hospital or switch to insulin for safety and tighter control
A
The patient is scheduled to receive five units of Humalog and 25 units of NPH isophane insulin prior to breakfast. Which nursing intervention is most appropriate for this patient? A. make sure the patient's breakfast is available to eat before administering this insulin B. offer the patient a high carbohydrate snack in six hours C. hold the insulin if the blood glucose level is greater than 100 MG per deciliter D. administer the medication's in two separate syringes
A
What patient education should the nurse provide to the patient with diabetes who is planning an exercise program? select all that apply A. Monitor blood glucose levels before and after exercise B. eat a complex carbohydrate prior to strenuous exercise C. withhold insulin prior to engaging in strenuous exercise D. take extra insulin prior to exercise
A, B
The nurse is initiating discharge teaching with a newly diagnosed patient with diabetes. Which statement indicates that the patient needs additional teaching? A. if I am experiencing hypoglycemia I should drink a half a cup of apple juice B. my insulin needs me increase when I have an infection C. I must draw the NPH insulin first if I am mixing with regular insulin D. if my blood glucose levels are less than 60 I should notify my healthcare provider
C short actung drawn up first
A patient receives NPH and regular insulin every morning. The nurse is verifying that the patient understands that there are two different peak times to be aware of for this insulin regimen. Why is this an important concept for the nurse to stress? A. The patient needs to plan the next insulin injection around the peak times B. additional insulin may be needed at peak times to avoid hyperglycemia C. it is best to plan exercise or other activities around peak insulin activity D. The risk for hypoglycemia is greatest around the peak of insulin activity
D
A patient with type two diabetes has been nothing by mouth since midnight for surgery in the morning. He has been on a combination of oral type to antidiabetic drugs. What would be the best action for this nurse to take concerning the administration of his medication? A. hold all medications as per the NPO order B. give him the medication's with a sip of water C. give him half the original dose D. contact the healthcare provider for further orders
D