Author Question: A 45-year-old patient who is overweight has had a diagnosis of type 2 diabetes for 2 years. The ... (Read 56 times)

yoooooman · **on:** Jul 23, 2018

A 45-year-old patient who is overweight has had a diagnosis of type 2 diabetes for 2 years. The patient uses 20 units of insulin per day. The patient's fasting blood glucose (FBG) is 190 mg/dL.

The patient asks the nurse about using an oral antidiabetic agent. The nurse understands that oral antidiabetic agents
a. cannot be used if the patient is overweight.
b. cannot be used once a patient requires insulin.
c. may be used since this patient meets criteria.
d. may not be used since this patient's fasting blood glucose is too high.

Question 2

Which statement by the nurse is accurate regarding iron supplementation during pregnancy?

a. All women should take iron supplements throughout their pregnancy.
b. Iron supplements are given to supply the fetus.
c. Iron supplements usually are not necessary until the second trimester.
d. The greatest iron demand is in the first trimester of pregnancy.

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

Answer to Question 1

ANS: C
Patients who require less than 40 units of insulin per day and who have a fasting blood glucose less than or equal to 200 mg/dL are candidates for oral antidiabetic agents. Being overweight is an indication, not a contraindication.

Answer to Question 2

ANS: C
Iron supplements generally are not necessary until the second trimester when the fetus begins to store iron. Iron supplements are given to prevent maternal iron deficiency, not to supply the fetus. The greatest demand occurs in the third trimester.