A patient with type 1 diabetes has vomiting and fever during an illness. Which sick-day instruction is most appropriate?
Correct answer: B. Check glucose and ketones more often than usual
- A. Stop basal insulin until food intake returns
- B. Check glucose and ketones more often than usual
- C. Drink only sugar-free fluids regardless of glucose level
- D. Exercise to lower the blood glucose level
Explanation
Illness can increase counter-regulatory hormones and insulin requirements, even when the patient is eating less. The patient should monitor glucose and ketones frequently, maintain fluids, follow the sick-day plan and seek help for persistent vomiting or ketones.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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50 free Endocrine and Diabetes Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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