Collaborative Care and Management of Chronic Illnesses
Collaborative Care and Management of Chronic Illnesses ( 4 Questions)
A client with type 2 diabetes mellitus is scheduled for a colonoscopy. The client asks the nurse how to manage their blood glucose levels on the day of the procedure. What is the best response by the nurse?
This is an incorrect response, as taking the usual dose of oral antidiabetic medication without eating can cause hypoglycemia, which can be dangerous for the client.
This is an incorrect response, as drinking clear liquids with sugar can interfere with the bowel preparation and affect the quality of the colonoscopy. The client should follow the instructions for bowel preparation and avoid any liquids that are not clear or contain red or purple dye.
This is an incorrect response, as skipping oral antidiabetic medication can cause hyperglycemia, which can increase the risk of complications during and after the procedure.
The client with type 2 diabetes mellitus who is undergoing a colonoscopy may need to adjust their oral antidiabetic medication dose, as they will be fasting before and after the procedure and may receive sedatives or analgesics that can affect their blood glucose levels. The best response by the nurse is to advise the client to contact their health care provider for specific instructions on how to adjust their medication dose, as this may vary depending on the type and dosage of medication, the duration of fasting, and the client's blood glucose levels.
The client with type 2 diabetes mellitus who is undergoing a colonoscopy may need to adjust their oral antidiabetic medication dose, as they will be fasting before and after the procedure and may receive sedatives or analgesics that can affect their blood glucose levels. The best response by the nurse is to advise the client to contact their health care provider for specific instructions on how to adjust their medication dose, as this may vary depending on the type and dosage of medication, the duration of fasting, and the client's blood glucose levels.
Incorrect options:
A) "You should take your usual dose of oral antidiabetic medication in the morning before the procedure." - This is an incorrect response, as taking the usual dose of oral antidiabetic medication without eating can cause hypoglycemia, which can be dangerous for the client.
B) "You should check your blood glucose levels frequently and drink clear liquids with sugar if they are low." - This is an incorrect response, as drinking clear liquids with sugar can interfere with the bowel preparation and affect the quality of the colonoscopy. The client should follow the instructions for bowel preparation and avoid any liquids that are not clear or contain red or purple dye.
C) "You should skip your oral antidiabetic medication on the day of the procedure and resume it after you eat." - This is an incorrect response, as skipping oral antidiabetic medication can cause hyperglycemia, which can increase the risk of complications during and after the procedure.