Administer half of the client's typical morning insulin dose as ordered.
Administer an oral antidiabetic agent as ordered.
Administer an I.V. insulin infusion as ordered.
Administer the client's normal daily dose of insulin as ordered.
Initiate insulin therapy.
Switch the client to a different oral antidiabetic agent.
Order an additional oral antidiabetic agent.
Restrict carbohydrate intake to less than 30% of the total caloric intake.
Fasting blood glucose test
6-hour glucose tolerance test
Serum glycosylated hemoglobin (Hb A1c)
15 to 30 minutes.
30 to 60 minutes.
1 to 1½ hours.
2 to 3 hours.
10 g of carbohydrates.
15 g of carbohydrates.
20 g of carbohydrates.
25 g of carbohydrates.
Monitoring blood glucose every 4 hours and as needed.
Checking for the presence of ketones with each void.
Providing client education at every opportunity.
Administering insulin routinely and as needed via a sliding scale.
"If I have hypoglycemia, I should eat some sugar, not dextrose."
"The drug makes my pancreas release more insulin."
"I can take insulin while I'm taking this drug."
"It's best if I take the drug with the first bite of a meal."
Vitamins with iron
In a few days.
In 3 to 4 months.
In 1 to 2 weeks.
Suggest the client find a supportive friend or family member to assist in his care.
Ask the physician to delay the discharge because the client requires further teaching.
Tell the charge nurse she doesn't believe this client will be safe and refuse to rush.
Ask the physician for a referral for a diabetes nurse-educator to see the client before discharge.
Onset to be at 2 p.m. and its peak to be at 3 p.m.
Onset to be at 2:15 p.m. and its peak to be at 3 p.m.
Onset to be at 2:30 p.m. and its peak to be at 4 p.m.
Onset to be at 4 p.m. and its peak to be at 6 p.m.
No increase in the thyroid-stimulating hormone (TSH) level after 30 minutes during the TSH stimulation test
A decreased TSH level
An increase in the TSH level after 30 minutes during the TSH stimulation test
Below-normal levels of serum triiodothyronine (T3) and serum thyroxine (T4) as detected by radioimmunoassay
Chronic renal failure
Elevated serum calcium level
St. John's wort
Thyroxine (T4), 22 μg/dl; triiodothyronine (T3), 320 ng/dl; thyroid-stimulating hormone (TSH) undetectable
T4, 22 μg/dl; T3, 200 ng/dl; TSH 0.1 μIU/ml
T4, 2 μg/dl; T3, 200 ng/dl; TSH 5.9 μIU/ml
T4, 2 μg/dl; T3, 35 ng/dl; TSH 45 μIU/ml
Nearly two-thirds of clients with diabetes mellitus are older than age 60.
Diabetes mellitus is more common in Hispanics and Blacks than in Whites.
Type 2 diabetes mellitus is less common than type 1 diabetes mellitus.
Approximately one-half of the clients diagnosed with type 2 diabetes are obese.
Encouraging independence with activities of daily living (ADLs)
Allowing ambulation as tolerated
Offering extra blankets and raising the heat in the room to keep the client warm
Placing the client in a private room
It decreases cyclic adenosine monophosphate (cAMP) production and affects the metabolic rate of target organs.
It interacts with plasma membrane receptors to inhibit enzymatic actions.
It interacts with plasma membrane receptors to produce enzymatic actions that affect protein, fat, and carbohydrate metabolism.
It regulates the threshold for water resorption in the kidneys.
Insulin is absorbed more slowly at abdominal injection sites than at other sites.
Insulin is absorbed rapidly regardless of the injection site.
Insulin is absorbed more rapidly at abdominal injection sites than at other sites.
Insulin is absorbed unpredictably at all injection sites.
Intermediate- and long-acting insulins.
Short- and long-acting insulins.
Short-acting insulin only.
Short- and intermediate-acting insulins.
Serum potassium level of 6.8 mEq/L
Blood urea nitrogen (BUN) level of 2.3 mg/dl
Serum sodium level of 156 mEq/L
Serum glucose level of 236 mg/dl
Initiate fluid replacement therapy.
Correct diabetic ketoacidosis.
Determine the cause of diabetic ketoacidosis.
Sweating, tremors, and tachycardia
Dry skin, bradycardia, and somnolence
Bradycardia, thirst, and anxiety
Polyuria, polydipsia, and polyphagia