Albert refuses his bedtime snack. This should alert the nurse to assess for:
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Solution
Signs of hypoglycemia earlier than expected.
A bedtime snack is provided for Albert. This is based on the knowledge that intermediate-acting insulins are effective for an approximate duration of:
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Solution
16-20 hours
Albert, a 35-year-old insulin dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and 1830. The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of:
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Solution
1330 and 1930
The nurse expects that a type 1 diabetic may receive ____ of his or her morning dose of insulin preoperatively:
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Solution
50-60%
Clinical nursing assessment for a patient with microangiopathy who has manifested impaired peripheral arterial circulation includes all of the following except:
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Solution
Palpation for increased pulse volume in the arteries of the lower extremities
A clinical feature that distinguishes a hypoglycemic reaction from a ketoacidosis reaction is:
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Solution
Diaphoresis
Rotation sites for insulin injection should be separated from one another by 2.5 cm (1 inch) and should be used
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Solution
2-3 weeks
The lowest fasting plasma glucose level suggestive of a diagnosis of DM is:
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Solution
126mg/dl
Clinical manifestations associated with a diagnosis of type 1 DM include all of the following except:
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Solution
Hypoglycemia
Knowing that gluconeogenesis helps to maintain blood levels, a nurse should:
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Solution
Do all of the above