A 26-year-old patient with diabetes rides a bicycle to and from ...

[fnuegbu]

A 26-year-old patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to administer the morning insulin?
 
  a. thigh.
  b. buttock.
  c. abdomen.
  d. upper arm.

Question 2

The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit. The patient reports no personal history of diabetes but has a parent who is diabetic. Which action will the nurse plan to take first?
 
  a. Teach the patient about administering regular insulin.
  b. Schedule the patient for a fasting blood glucose level.
  c. Discuss an oral glucose tolerance test for the twenty-fourth week of pregnancy.
  d. Provide teaching about an increased risk for fetal problems with gestational diabetes.

[nothere]

Answer to Question 1

ANS: C
Patients should be taught not to administer insulin into a site that will be exercised because exercise will increase the rate of absorption. The thigh, buttock, and arm are all exercised by riding a bicycle.

Answer to Question 2

ANS: B
Patients at high risk for gestational diabetes should be screened for diabetes on the initial prenatal visit. An oral glucose tolerance test may also be used to check for diabetes, but it would be done before the twenty-fourth week. The other actions may also be needed (depending on whether the patient develops gestational diabetes), but they are not the first actions that the nurse should take.

[fnuegbu]

Excellent

[sultana.d]

TYSM