A patient with type 1 diabetes was prescribed a glucocorticoid ...

[imowrer]

A patient with type 1 diabetes was prescribed a glucocorticoid for chronic obstructive pulmonary disease. Which will the nurse expect in the treatment plan?
 
  a. A decrease in the amount of insulin needed
  b. No change in the amount of insulin needed
  c. An increase in the need for carbohydrates
  d. An increase in the insulin needed

Question 2

Which will the nurse include in the teaching plan for a patient asking about the use of salt substitutes while on a sodium-restricted diet?
 
  a. Salt substitutes may be high in potassium and should be used sparingly.
  b. Salt substitutes are safe for unlimited use.
  c. The salty flavor is reduced, so additional amounts are needed for desired flavor.
  d. Salt substitutes may interact with the patient's medications.

[bobsmith]

Answer to Question 1

ANS: D
Glucocorticoids may elevate blood glucose levels and induce hyperglycemia, particularly in prediabetic or diabetic patients. Insulin needs increase with an increase in blood glucose levels. Carbohydrate needs will not increase.

Answer to Question 2

ANS: A
Potassium restrictions may be indicated if the patient is taking a potassium-sparing diuretic. Salt substitutes may be high in potassium; therefore, their use must be limited. Salt substitutes tend to have a more salty taste than sodium chloride, so reduced amounts are needed to provide desired flavor. It is unlikely that salt substitute will interact with patients' medications.

[imowrer]

Thanks

[bobsmith]

Welcome