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Author Question: A patient who has insulin-dependent diabetes mellitus must take a glucocorticoid medication for ... (Read 12 times)

kwoodring

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on: Jul 23, 2018
A patient who has insulin-dependent diabetes mellitus must take a glucocorticoid medication for osteoarthritis. When teaching this patient, the nurse will explain that there may be a need to
 
  a. decrease the glucocorticoid dose.
  b. decrease the insulin dose.
  c. increase the glucocorticoid dose.
  d. increase the insulin dose.

Question 2

The patient asks the nurse about storing insulin. Which response by the nurse is correct?
 
  a. All insulin vials must be refrigerated.
  b. Insulin will last longer if kept in the freezer.
  c. Opened vials of insulin must be discarded.
  d. Some combination pens do not require refrigeration.


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carlsona147

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Glucocorticoids can cause hyperglycemia, so the insulin dose may need to be increased. Changing the glucocorticoid dose is not recommended. Decreasing the insulin dose will only compound the hyperglycemic effects.

Answer to Question 2

ANS: D
Some combination pens do not require refrigeration after first use. Storing insulin in the freezer is not recommended. Opened vials may either be kept at room temperature for a month or refrigerated for 3 months.


kwoodring

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Reply 2 on: Jul 23, 2018
Excellent

FergA

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Reply 3 on: Yesterday
Gracias!

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