A patient with cystic fibrosis (CF) has blood glucose levels that ...

[dmcintosh]

A patient with cystic fibrosis (CF) has blood glucose levels that are consistently between 180 to 250 mg/dL. Which nursing action will the nurse plan to implement?
 
  a. Discuss the role of diet in blood glucose control.
  b. Teach the patient about administration of insulin.
  c. Give oral hypoglycemic medications before meals.
  d. Evaluate the patient's home use of pancreatic enzymes.

Question 2

A patient newly diagnosed with asthma is being discharged. The nurse anticipates including which topic in the discharge teaching?
 
  a. Use of long-acting -adrenergic medications
  b. Side effects of sustained-release theophylline
  c. Self-administration of inhaled corticosteroids
  d. Complications associated with oxygen therapy

[cswans24]

Answer to Question 1

ANS: B
The glucose levels indicate that the patient has developed CF-related diabetes, and insulin therapy is required. Because the etiology of diabetes in CF is inadequate insulin production, oral hypoglycemic agents are not effective. Patients with CF need a high-calorie diet. Inappropriate use of pancreatic enzymes would not be a cause of hyperglycemia in a patient with CF.

Answer to Question 2

ANS: C
Inhaled corticosteroids are more effective in improving asthma than any other drug and are indicated for all patients with persistent asthma. The other therapies would not typically be first-line treatments for newly diagnosed asthma.

[dmcintosh]

TYSM

[dawsa925]

Excellent