35 hours ago 1- a patient with type 2 diabetes mellitus calls their provider's office to report nausea and flulike symptoms for 2 days. what advise should the nurse give the client? a) be sure to check your blood glucose level in the morning on a daily basis. b) take half of your regular dose of insulin and oral hypoglycemic agent. >> Go To The Portal
The nurse is reviewing instructions for a patient with type 2 diabetes who also takes insulin injections as part of the therapy. The nurse asks the patient, "What should you do if your fasting blood glucose is 47 mg/dL?"
She enjoys giving lectures and writing articles for both the lay public and medical audiences. Experiencing nausea and vomiting with diabetes may be related to blood sugar, treatments for diabetes, or an effect of complications associated with diabetes.
c. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma. d. Changes in diet and exercise may be sufficient to control blood glucose levels in type 2 diabetes. A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about
Which other manifestations should the nurse anticipate if diabetic ketoacidosis (DKA) is suspected? Severe drowsiness, seizures, excessive fluid loss Mood swings, difficulty speaking, increased heart rate
c. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.
A patient with type 2 diabetes that is well-controlled with metformin (Glucophage) develops an allergic rash to an antibiotic and the health care provider prescribes prednisone (Deltasone). The nurse will anticipate that the patient may.
Which statement by the nurse about type 2 diabetes is correct?#N#a. Insulin is not used to control blood glucose in patients with type 2 diabetes.#N#b. Complications of type 2 diabetes are less serious than those of type 1 diabetes.#N#c. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.#N#d. Changes in diet and exercise may be sufficient to control blood glucose levels in type 2 diabetes.
A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about
a.The patient will have a glycosylated hemoglobin level of less than 7%.
The patient pushes the plunger down and immediately removes the syringe from the injection site.
C. The amount of glucose that your body makes overwhelms your pancreas and decreases your production of insulin.
A diabetes nurse educator is teaching a group of patients with type 1 diabetes about sick day rules. What guideline applies to periods of illness in a diabetic patient?
Rationale: Sulfonylureas exert their primary action by directly stimulating the pancreas to secrete insulin and therefore require a functioning pancreas to be effective . Biguanides inhibit the production of glucose by the liver and are in used in type 2 diabetes to control blood glucose levels. Thiazolidinediones enhance insulin action at the receptor site without increasing insulin secretion from the beta cells of the pancreas. Alpha glucosidase inhibitors work by delaying the absorption of glucose in the intestinal system, resulting in a lower postprandial blood glucose level.
Rationale: Criteria for the diagnosis of diabetes include symptoms of diabetes plus random plasma glucose greater than or equal to 200 mg/dL, or a fasting plasma glucose greater than or equal to 126 mg/dL.
A. The tissues in your body are resistant to the action of insulin, making the glucose levels in your blood increase.
Rationale: The most important issue to teach patients with diabetes who become ill is not to eliminate insulin doses when nausea and vomiting occur. Rather, they should take their usual insulin or oral hypoglycemic agent dose, then attempt to consume frequent, small portions of carbohydrates. In general, blood sugar levels will rise but should be reported if they are greater than 300 mg/dL.
Rationale: Regular insulin is usually administered 2030 min before a meal. Earlier administration creates a risk for hypoglycemia; later administration creates a risk for hyperglycemia.
If the result is from a bedside capillary glucose test, have the laboratory determine a blood glucose level for confirmation of the bedside test result .
The nurse should provide education to patients with diabetes to prevent complications and to teach patients how to best manage the disease. This includes teaching about GLAs (medication), appropriate exercise regimens, dietary guidelines, signs and symptoms to report to the health care provider, sick day rules, daily self-monitoring of blood glucose, hypo- and hyperglycemia prevention, and hypo- and hyperglycemia treatment as needed.
Recheck the blood glucose level in 15 minutes.
Nurses provide relevant education to patients with diabetes about managing their condition. The nurse imparts patient education in an environment in which distractions are minimal and patient participation is encouraged.
After the initial assessment of a new patient, the nurse notices a fruity smell on the patient's breath and rapid, deep breathing. Which actions should the nurse take to address these symptoms?
Perform blood glucose monitoring to determine effectiveness of treatment.
Early symptoms of hypoglycemia include the central nervous system (CNS) manifestations of confusion, irritability, tremor, and sweating. Hypothermia and seizures are later symptoms of hypoglycemia. The other options are incorrect. The nurse is teaching a group of patients about self-administration of insulin.
Insulin is given to pediatric patients, with extreme care. Patients with type 2 diabetes may require insulin in certain situations or as their disease progresses. The nurse is teaching a group of patients about management of diabetes.
Rapid-acting insulins, such as insulin lispro and insulin aspart, are able to mimic closely the body's natural rapid insulin output after eating a meal; for this reason, both insulins are usually administered within 15 minutes of the patient's mealtime. The other options are incorrect.
The proper syringe for insulin injection is the insulin syringe, which is marked in units. The other syringes listed are not correct for use with insulin because they are not marked in units. A patient is taking a sulfonylurea medication for new-onset type 2 diabetes mellitus.
A fasting blood glucose level between 70 and 100 mg/dL indicates a therapeutic response to drugs that decrease glucose levels. The other options are incorrect.
Regular insulin is the usual insulin product to be dosed via intravenous bolus, intravenous infusion, or even intramuscularly. These routes, especially the intravenous infusion route, are often used in cases of diabetic ketoacidosis, or coma associated with uncontrolled type 1 diabetes. A patient with a history of chronic obstructive pulmonary ...
Glyburide is taken in the morning, 30 minutes before breakfast. When taken at this time, it has a longer duration of action, causing a constant amount of insulin to be released. This may be beneficial in controlling blood glucose levels throughout the day.
Diabetic gastroparesis is a severe complication of diabetes that can cause nausea, vomiting, and weight loss. 13 Gastroparesis is a delayed gastric emptying, which means the time it takes for your food to move from the stomach to the small intestine is slower.
Following your diabetes meal plan, staying active, and taking your medications as directed can help you better control your condition.
However, you can help prevent DKA by learning the warning signs, checking your blood sugars regularly, and managing your diabetes as instructed. 5
The most common symptoms of a bezoar are nausea and vomiting, but can also include:
If your blood sugar is still below 70 mg/dl, have another serving and wait 15 minutes more. Repeat these steps until your blood sugar reaches 70 mg/dl. Although you may be tempted to eat as much as you can until you feel better, try to resist as this can cause your blood sugar to elevate too high.
To treat low blood sugar, it is recommended to follow the 15-15 rule: 1. Have 15 grams of simple carbohydrates like a tablespoon of sugar or 4 ounces of juice to raise your blood sugar. Wait 15 minutes to recheck your levels. If your blood sugar is still below 70 mg/dl, have another serving and wait 15 minutes more.
Other factors can affect your blood sugar as well. If you eat more than planned or exercise less, or experience stress or an illness, your blood sugar may rise. 2