Insulin
This type of insulin is administered 10 to 15 minutes before meals to control postprandial (after meals) hyperglycemia?
What is rapid-acting insulin (insulin aspart)?
This is important education for a diabetic client taking an oral hypoglycemia.
What is take the medication at the same time each day?
This lab test is the best indicator of the average blood glucose level for the past 120 days.
What is HbA1C (glycosylated hemoglobin)?
These are signs and symptoms of hyperglycemia.
What is hot, dry skin, and fruity breath?
Hot and Dry - on a sugar high
When blood glucose levels are consistently higher than 250-300 and/or if ketones are present for more than 24 hours the client needs to do this.
What is notify their healthcare provider?
This type of insulin is administered once daily, anytime during the day but always at the same time each day.
What is long-acting insulin (insulin glargine, insulin detemir)?
A client is taking metformin and scheduled for a procedure with contrast. The nurse provides this education to the client.
What is stop the metformin 48 hours before the procedure with contrast dye and restart the medication 48 hours after the procedure?
This is how often the HbA1C (glycosylated hemoglobin) should be checked in a diabetic client who is not meeting prescribed glycemic levels.
What is every 3 months?
These are signs and symptoms of hypoglycemia.
What is CONFUSION, sweating, palpitations, headache, mild shakiness, blurred vision, lack of coordination, seizures, and coma?
Cool and Clammy - need some candy
The nurse is educating a client on when to check urine for ketones. This information is provided to the client.
What is to check urine when blood glucose levels exceed 240 mg/dL
This is how to draw up rapid or short-acting insulin with a longer-acting insulin.
What is draw up the shorter-acting insulin first and then the longer-acting insulin. (Clear before Cloudy)
A client is taking Pioglitazone (Actos). The nurse instructs the client to report which finding immediately?
What is vision changes. Actos increase the risk for macular edema.
The client had a 2 hour oral glucose tolerance test of 165. The nurse knows this means.....
What is the client has pre-diabetes?
Hypoglycemia is classified as a blood glucose less than this.
What is 70 mg/dL or less?
A diabetic client is having vomiting, diarrhea, and fever. The nurse instructs the client to do this.
What is consume liquids every half-hour to an hour to prevent dehydration? If persistent nausea and vomiting then they need to call their healthcare provider.
This type of short-acting insulin is prescribed for most clients and may be administered IV?
What is regular insulin?
The client is taking Glyburide for diabetes. The nurse educates the client that this medication should be taken......
What is 30 minutes before meals and to monitor for hypoglycemia?
The client had a fasting blood sugar of 126 and an A1C of 6.6. The nurse knows that this means......
What is the client has diabetes?
Hyperglycemia is classified as blood levels greater than this.
What is 250 or greater?
The diabetic client is unable to consume any food or fluids for 4 hours. The nurse instructs the client to do this.
What is notify the healthcare provider.
This insulin is administered for glycemic control between meals and at night. NOT administered before meals to control postprandial rise in blood glucose.
What is intermediate-acting insulin (NPH insulin)
The client is taking metformin for diabetes. The nurse provides this education to the client regarding metformin.
What is monitor for GI effects, do not drink alcoholic beverages, if symptoms of lactic acidosis (myalgia, sluggishness, somnolence, and hyperventilation) occur to notify the healthcare provider?
The client had a fasting glucose of 90. The nurse knows this means.....
What is this is a normal finding? Fasting blood glucose of 100-125 indicates pre-diabetes.
The client has hypoglycemia and is able to eat and drink. The nurse provides this to the client.
What is treat with 15 grams of a readily absorbable carbohydrate (4-6 ounces of fruit juice or regular soft drink, 6-10 hard candies, or 1 tbsp. of honey) every 15 minutes x 2 then if blood sugar is sustained to administer a more complex carbohydrate such as milk or cheese?
The diabetic client is sick and cannot follow the usual meal plan. The nurse instructs the client to do this.
What is eat foods or liquids equal to the carbohydrate content of the usual meal plan.