Author Question: A woman with type 1 diabetes recently became pregnant. The nurse plans a blood glucose testing ... (Read 73 times)

jazziefee · **on:** Jul 23, 2018

A woman with type 1 diabetes recently became pregnant. The nurse plans a blood glucose testing schedule for her. What is the recommended monitoring schedule?

a. Before each meal and before bed
b. In the morning for a fasting level and at 4 PM for the peak level
c. Six or seven times a day
d. Three times a day, along with urine glucose testing

Question 2

A patient is brought to the emergency department in a panicked state and complains of seeing abnormalities of his body, such as grotesque limbs. The nurse suspects LSD toxicity and should prepare to administer which of the following medications?

a. Bromocriptine (Parlodel)
b. Diazepam (Valium)
c. Haloperidol (Haldol)
d. Naloxone (Narcan)

aidanmbrowne · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
A pregnant woman with type 1 diabetes must have frequent blood sugar monitoring (eg, six or seven times a day) to manage both the mother and fetus so that no teratogenic effects occur and damage the fetus.
Monitoring the blood sugar level before meals and HS is not significant enough to provide the necessary glycemic control.
Morning and 4 PM monitoring is not enough to provide glycemic control.
Urine glucose testing is not sensitive enough to aid glycemic control, and monitoring three times a day is not enough.

Answer to Question 2

B
Toxicity from LSD manifests as acute panic reactions and can be managed with an antianxiety agent, such as diazepam. Depressive episodes, dissociative reactions, and distortions of body image also may occur.
Bromocriptine would be used to treat the withdrawal effects of central nervous system stimu-lants.
Haloperidol would be used to treat amphetamine overdose.
Naloxone would be used to treat opioid overdose.