EAQ: Glucose Regulation

Glucose tolerance test is prescribed for a pediatric client. The prescription reads administer glucose 1 g per kilogram. The client weighs 60 pounds how many grams of glucose will the nurse administer record your answer using a whole number

27 g

Based on laboratory values, which clients needs with the nurse address first?

A1c percentage of 6.8 fasting plasma glucose level of 130 to our plasma glucose level of 200.

Identify the preferred site for the self administration of subcutaneous injection of insulin

Abdomen The abdomen is a preferred site for an insulin injection because it is easily accessible and absorption is more even in rapid, and when it is injected in the extremities

Which manifestation will the nurse include when teaching a client about keto acidosis? 1.Confusion 2.Hyperactivity 3.Excessive thirst 4.Fruity scented breath 5. Decreased urinary output

Confusion, excessive thirst, fruity-scented breath Rationale: Diabetic ketoacidosis signs and symptoms often develop quickly sometimes within 24 hours. Diabetic keto acidosis is a serious complication of diabetes that occurs when the body produces high levels of ketones (toxic acids) in the bloodstream, eventually leading to diabetic ketoacidosis if untreated. Signs and symptoms include confusion, excessive thirst, fruity, scented breath, frequent urination, nausea and vomiting, abdominal pain, weakness, and fatigue and shortness of breath weakness or fatigue. Not hyperactivity is a symptom, frequent urination not decrease urination is a symptom.

Which affects of exercise with the nurse share with a client with diabetes, who asked how exercise will affect insulin and dietary needs

Decreases the amount of insulin needed and increases the need for carbohydrates Rationale : exercise increases the uptake of glucose by active muscle cells. Carbohydrates are needed to supply energy for the increase metabolic rate associated with exercise. The need for insulin is decreased.

Which condition would the nurse identify as the likely cause of profound weakness, and nervousness in a client that became confuse shortly after yourself administering the morning dose of 10 units of regular insulin and 25 units of NPH insulin after a light breakfast with no additional and taking the three hours since that time? Hyperglycemia,, hyper insulinemia hypoglycemia hypoinsulinemia

Hypoglycemia Rationale: severe Hypoglycemia as a fighting and diabetic plan to take insulin, and miss a meal. Signs and symptoms of hypoglycemia are nervousness, weakness, confusion, and disorientation. Hyperglycemia is rare and clients who are on insulin therapy and decrease their intake. Hyperinsulinemia is a condition where an excess of insulin is produced by the pancreas in response to condition, such as insulin resistance or insulinomas. Hypoinsulinemia refers to abnormally low levels of insulin in the blood.

An adolescent with the history of type one diabetes is admitted in ketoacidosis, which caused with the nurse, suspect as precipitating this episode of ketoacidosis Infection Increased exercise Recent weight loss Overdose of insulin

Infection Rationale: the stress of an infection increases the bodies metabolism; the presence of glucocorticoids results in hyperglycemia. Exercise causes a decrease in insulin needs that result in Hypoglycemia, not , Hypoglycemia, and keto acidosis rapid weight loss causes a decrease in insulin needs that result in Hypoglycemia not Hypoglycemia on keto acidosis excessive insulin result in Hypoglycemia not Hypoglycemia ketoacidosis.

An increase in which blood component is responsible for the acidosis related to untreated diabetes mellitus Ketones Glucose Lactic acid Glutamic acid

Ketones Taquitos produce excessively in diabetes are a byproduct of the breakdown of body fats and proteins for energy. This occurs when insulin is not secreted or is unable to be used to transport glucose across the cell membrane into the cells. The major ketone acid acetoacetic acid is an alpha Cotuit acid that lowers a blood pH resulting in acidosis.

Which action will the nurse take when a male client receiving prolong steroid therapy complains of always being thirsty and urinating frequently? Have the client access for enlarged prostate Obtain a urine specimen from the client to test for ketonuria Perform a fingerstick to test the clients blood glucose level Assess the clients lower extremities for the presence of pitting edema

Perform a fingerstick to test the clients blood glucose level Rationale: the client has signs of increase serum glucose level, which may result from steroid therapy; testing the blood glucose level is a method of gathering more data. The symptoms are not those of benign prostatic hyperplasia the blood glucose level, not the amount of ketones in the urine should be assessed. The symptoms presented or not those of fluid retention but of hyperglycemia.

Which information would the nurse include when teaching a type two diabetic controlled with oral antidiabetic medication to prescribe regular insulin and admitted for elective surgery? You will need to hire serum glucose level while on bedrest The stress of surgery may cause hypoglycemia With insulin dosage can be adjusted to your changing needs during recovery from surgery The possibility of surgical complications is greater when a client takes oral hypoglycemics

With insulin dosage can be adjusted you're changing he's doing recovery from surgery Rational : there's a better control of blood glucose levels with short acting(regular) insulin. The level of glucose must be maintained as close to normal as possible elevated glucose levels are not desirable for clients on bedrest the stress of surgery or will precipitate hyperglycemia or not hypoglycemia, which is best controlled with exogenous, insulin oral hypoglycemic do not increase surgical complications.