A client on insulin therapy has been consistently experiencing elevated fasting blood glucose levels. What should the nurse do to monitor and adjust the client's insulin regimen?
Administer rapid-acting insulin after meals to control postprandial glucose levels.
Increase the client's basal insulin dose to address fasting hyperglycemia.
Advise the client to skip meals to prevent further elevations in blood glucose.
Decrease the client's insulin doses to avoid hypoglycemia.
The Correct Answer is B
Fasting hyperglycemia suggests insufficient basal insulin coverage. Adjusting the basal insulin dose can help stabilize fasting blood glucose levels.
Incorrect choices:
a. Administering rapid-acting insulin after meals targets postprandial glucose levels, not fasting hyperglycemia.
c. Skipping meals is not a recommended approach and may lead to further blood glucose imbalances.
d. Decreasing insulin doses may worsen hyperglycemia and is not appropriate without healthcare provider guidance.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Fasting hyperglycemia suggests insufficient basal insulin coverage. Adjusting the basal insulin dose can help stabilize fasting blood glucose levels.
Incorrect choices:
a. Administering rapid-acting insulin after meals targets postprandial glucose levels, not fasting hyperglycemia.
c. Skipping meals is not a recommended approach and may lead to further blood glucose imbalances.
d. Decreasing insulin doses may worsen hyperglycemia and is not appropriate without healthcare provider guidance.
Correct Answer is B
Explanation
Treating hypoglycemia promptly is crucial to prevent more severe symptoms or complications. Waiting until blood sugar drops very low can lead to a dangerous situation.
Incorrect choices:
a. Carrying a source of fast-acting carbohydrates, like glucose tablets or juice, helps quickly raise blood sugar levels during an episode of hypoglycemia.
c. Checking blood sugar levels when experiencing symptoms of hypoglycemia helps confirm if blood sugar is low and guides appropriate treatment.
d. Notifying the healthcare provider about frequent hypoglycemia episodes is important to adjust the diabetes management plan and prevent future occurrences.
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