Nursing care of patients with disorders of the endocrine: Pancreas

A nursing home resident with a long history of diabetes requests a heating pad for cold, numb feet. What is the best response by the nurse? 1. "Let's soak your feet in hot water instead; that might be safer." 2. Let's elevate your feet to promote circulation and provide more warmth." 3. "I will bring you a heating pad; it will help your circulation in your feet." 4. "A heating pad can cause burns, but I can bring you some extra socks." - 4. "A heating pad can cause burns, but I can bring you some extra socks." A patient self-administers 20 units of intermediate acting NPH insulin at 8 am. At which time should the nurse counsel the patient to expect the blood glucose level to be the lowest? 1. Between 9 am and 10 am 2. Between 2 pm and 8 pm 3. Between 8 am and 2 am 4. Between 8 am and 10 am the next day - 2. Between 2 pm and 8 pm A patient who is preparing for surgery asks the nurse why the physician discontinued oral hypoglycemic agent orders and initiated sliding-scale insulin. Which response by the nurse is best? 1. "It helps us maintain better control of your blood glucose during surgery. You will most likely be back on your pills before you go home." 2. "The stress of surgery often exacerbates diabetes. We will teach you how to give insulin before you go home." 3. "Oral hypoglycemic are ineffective during times of stress. Insulin is the only way to keep your blood glucose under control." 4. "The oral agents must not be controlling your blood glucose any longer. I will check and see which insulin you will be going home on." - 1. "It helps us maintain better control of your blood glucose during surgery. You will most likely be back on your pills before you go home."