Certified Neuroscience Registered Nurse (CNRN) Practice Exam

How frequently should the glucose level of diabetic patients be checked in phase 1 after surgery?

1. Every hour

2. Upon arrival and every 2 hours if unconscious

3. Only once daily

4. Every 4 hours

The correct answer is: Upon arrival and every 2 hours if unconscious

Monitoring glucose levels in diabetic patients post-surgery is crucial to prevent complications such as hyperglycemia or hypoglycemia, which can adversely affect recovery and overall patient outcomes. The appropriate frequency of glucose checks is determined by the patient's condition and consciousness level. In the immediate postoperative phase, especially for patients who are unconscious, it is vital to ensure their glucose levels are stable since they cannot communicate any symptoms of glucose dysregulation. Checking the glucose level upon arrival to the recovery area provides an initial assessment, and frequent checks every two hours allow for timely interventions if levels fluctuate significantly. This close monitoring is essential to safeguard against potential complications related to diabetes, emphasizing the importance of frequent assessments in the acute phase following surgery. In contrast, options that suggest less frequent checks, such as once daily or every four hours, may not be adequate for ensuring the patient's metabolic stability, particularly in the context of post-surgical care where monitoring needs to be more vigilant. Regular assessments help ensure that any necessary adjustments to insulin or other medications can be made promptly, thereby enhancing patient safety and recovery.