A client with type 2 diabetes has been on insulin therapy for several months. The client reports frequent episodes of hypoglycemia. Which action by the nurse is appropriate for monitoring and adjusting insulin therapy?
Increase the client's insulin dose to prevent high blood glucose levels.
Advise the client to consume more carbohydrates to prevent hypoglycemia.
Collaborate with the healthcare provider to adjust the insulin regimen.
Instruct the client to skip meals to avoid excessive insulin doses.
The Correct Answer is C
Frequent hypoglycemic episodes indicate the need for a possible adjustment in insulin therapy. The nurse should work with the healthcare provider to modify the insulin regimen to better match the client's needs.
Incorrect choices:
a. Increasing the insulin dose without healthcare provider guidance may lead to further hypoglycemia and potential harm.
b. Consuming more carbohydrates may provide temporary relief from hypoglycemia but does not address the underlying insulin dosing issue.
d. Skipping meals can lead to unstable blood glucose levels and is not a recommended approach to managing insulin therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Drawing up rapid-acting insulin before intermediate-acting insulin prevents contamination of the rapid-acting insulin vial with the longer-acting insulin.
Incorrect choices:
b. Drawing up intermediate-acting insulin first can contaminate the vial with rapid-acting insulin, potentially altering dosing accuracy.
c. The order in which insulin is drawn up does matter to prevent contamination.
d. Regular insulin is not commonly used for injection in routine insulin therapy.
Correct Answer is B
Explanation
Storing insulin in a cool place, such as a mini-fridge in a hotel room, helps maintain its effectiveness while traveling.
Incorrect choices:
a. Storing insulin in checked baggage on an airplane can expose it to temperature fluctuations and extreme conditions that may affect its potency.
c. Storing insulin next to electronic devices may subject it to heat, which can impact its effectiveness.
d. Storing insulin in the glove compartment of a car during sightseeing can expose it to temperature fluctuations and extreme heat, affecting its potency.
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