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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Pinch the skin and insert the needle at a 45-degree angle. This technique helps ensure proper subcutaneous injection and absorption of insulin.
Incorrect choices:
a. Inserting the needle at a 90-degree angle may result in intramuscular injection, leading to rapid absorption and potential hypoglycemia.
c. Inserting the needle at a 30-degree angle may result in shallow injection and inadequate insulin absorption.
d. Pressing the needle against the skin and releasing quickly may result in the medication leaking out of the injection site.
Correct Answer is B
Explanation
The abdomen is a common site for insulin injection in children due to its larger subcutaneous tissue area and ease of access.
Incorrect choices:
a. The upper arm is not typically recommended for insulin injection due to limited subcutaneous tissue and potential discomfort.
c. The thigh is also a suitable site for insulin injection, but the abdomen is often preferred in children.
d. The buttock is not commonly used for insulin injection due to difficulties in self-administration and limited visibility.
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