A Patient with Type 2 Diabetes Mellitus,which Was Previously Controlled

question 4

Multiple Choice

A patient with type 2 diabetes mellitus,which was previously controlled with an oral antidiabetic agent,is hospitalized for treatment of a leg ulcer.The healthcare provider has ordered sliding scale insulin coverage with regular insulin for hyperglycemia.The nurse brings the injection into the room,and the patient becomes upset,stating "I don't want to start taking that drug! I'll need it the rest of my life." What is the nurse's best response?

• A) "This is the same drug as the oral medication you were taking.It's a stronger dose while you are in the hospital."
• B) "Don't worry.You shouldn't need this too often.As you feel better,your blood glucose level will drop."
• C) "Your body is under stress right now,which raises your blood glucose level.This does not mean you will be on this drug permanently.Once you're feeling better,your provider will determine if your oral medication is all you will need."
• D) "Your disease is progressing and your pancreas is producing less insulin.I know this is a hard time for you.Do you want to talk about it?"

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Definitions:

Per Se Violations

In law, actions or situations that are inherently illegal and do not require further proof of illegality or intent to enforce penalties.

Acceptable Practices

Established norms or standards of behavior that are considered to be appropriate and acceptable within a specific field or context.

Business Practices

The methods, strategies, and procedures employed by companies in the design, production, marketing, and sale of their products and services.

Sherman Act

A United States antitrust law passed in 1890 that outlaws monopolistic practices and promotes competition.