A Patient with Diabetes That Is Well Controlled with Insulin

question 3

Multiple Choice

A patient with diabetes that is well controlled with insulin injections has been on nothing by mouth (NPO) status since midnight before having a mastectomy.The nurse notes that there are no preoperative orders regarding the patient's daily insulin dose.What is the most appropriate nursing action?

• A) Withhold any insulin dose because none is ordered and the patient is on NPO status.
• B) Call the physician to clarify whether insulin should be given and at what dosage.
• C) Give the patient half of her usual daily insulin dose because she will not be eating in the morning.
• D) Give the patient her usual daily insulin dose because the stress of surgery will increase her blood glucose level.

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Definitions:

Base of Support

The area beneath an object or person that includes every point of contact that the object or person makes with the supporting surface, essential for stability.

Drawsheets

Small bed linens placed crosswise over the middle of the bottom sheet to assist in repositioning or lifting a patient in bed.

Position

The way in which someone or something is placed or arranged in relation to its surroundings.

Direction of Movement

Refers to the course along which someone or something moves, which can be described in terms of direction (such as north, south, forward, backward).