The nurse is admitting a diabetic client. The nurse asks questions about diet and discovers that the client avoids sugary foods, but eats rolls and bread at every meal. Which of the following responses by the nurse is correct?
A client who is in the hospital requires total parenteral nutrition for management of malnutrition. After two days on the TPN solution, the nurse checks the clients blood glucose levels and the result is 181 mg/dL. Which action of the nurse is most appropriate?
A 41-year-old client has been diagnosed with type 2 diabetes. The nurse is teaching the client about how to perform self-monitoring of blood glucose (SMBG) at home. The nurse instructs the client about how to use a lancet to obtain a blood sample. Which technique would the nurse most likely include?
A 65-year-old client is in the hospital for surgery for a colon resection. The client requires total parenteral nutrition, which is administered through a central venous catheter. The nurse notes that the client has a red area of induration around the catheter exit site. The client’s latest blood glucose result is 176 mg/dL and a current temperature of 38 degrees celsius. Which of the following conditions should the nurse suspect?
A nurse is assessing a diabetic client at the healthcare clinic who has a log of glucose levels and insulin dosages for the past month. The nurse notes that the client has had high levels of blood glucose every morning, requiring increased dosages of insulin first thing in the morning when compared to other times of day. Which of the following suggestions would most likely assist the client to have better readings of morning blood glucose levels?
A client is being seen in the emergency department for anxiety, confusion, and behavioral changes. The client’s heart rate is elevated and the blood glucose is 48 g/dL. The nurse administers a dose of glucagon and a continuous infusion of IV dextrose. Which of the following interventions should the nurse perform next?
A client uses Novolin R, a short-acting insulin, to control his blood glucose levels. The client is reviewing the principles of glucose control with the nurse and asks about when he should take his insulin in relation to meals. Which response from the nurse is most accurate?
A nurse is assessing a client with a history of diabetes. The client tells the nurse that she does not feel well. The nurse checks her blood glucose levels and gets a result of 51 mg/dL. What signs or symptoms would the nurse expect to see with this blood glucose level? Select all that apply.
A 44-year-old diabetic client is undergoing surgery for a hysterectomy. The client is a type 1 diabetic who requires regular monitoring of blood glucose levels and insulin administration on a sliding scale. Which information should be given to the client about controlling blood glucose levels throughout surgery?
