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How should the nurse proceed while caring for him on the morning of surgery? A client with type 1 diabetes must undergo bowel resection in the morning.



A. Administer half of the client s typical morning insulin dose as ordered.
B. Administer an oral antidiabetic agent as ordered.
C. Administer an I.V. insulin infusion as ordered.
D. Administer the client s normal daily dose of insulin as ordered.
Asked by Callie, Last updated: May 21, 2020

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3 Answers

K. Galatia

K. Galatia

Answered Mar 25, 2020

The correct answer to this question is option C - Administer an I.V. insulin infusion as ordered
While caring for a client with type 1 diabetes must undergo bowel resection in the morning, the nurse should administer an IV insulin infusion as ordered.

For a client that needs to undergo surgery in the morning, the client should not eat or drink at least 12 hours before surgery. This means you cannot administer the full dose of insulin. If the full dose is administered, the client might become hypoglycemic.

Since the client will be on an empty stomach for 12 hours before the surgery in the morning, there is no need to administer half of the client’s typical morning insulin dose. The client will become hypoglycemic.
The client cannot take an oral antidiabetic agent because the client has to be on an empty stomach to undergo surgery.

 

Bobby Rickets

Bobby Rickets, Content Reviewer

Answered Jan 23, 2019

The correct answer is C. When caring for a client with type 1 diabetes who must undergo bowel resection the following morning, the nurse should administer half of the client’s typical morning insulin dose as ordered. While this may sound incorrect because it is not the client’s normal routine, it makes sense if you think about it a little bit.

If the client is scheduled to have surgery in the morning, that means the client cannot eat or drink for 12 hours before the surgery. If you administer the full dose of insulin even though the client cannot eat or drink, it would cause their blood sugar to drop too low.

 

John Smith

John Smith

Answered Sep 09, 2016

Administer half of the client\ s typical morning insulin dose as ordered.-rationale: if the nurse administers the clients normal daily dose of insulin while hes on nothing-by-mouth status before surgery, hell experience hypoglycemia. therefore, the nurse should administer half the daily insulin dose as ordered. oral antidiabetic agents arent effective for type 1 diabetes. i.v. insulin infusions arent necessary to manage blood glucose levels in clients undergoing routine surgery. client needs category: physiological integrity client needs subcategory: basic care and comfort cognitive level: application reference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing,11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1414.
 

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