A nurse is caring for a patient who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take?

Give the insulin after the patient has completed 3/4 of their breakfast

Give the insulin 30 min after breakfast with the patient's other routine medicines.

Give the insulin at 0730.

Give the insulin at 0700.

Answer and Explanation

The Correct Answer is C

A. Incorrect. Regular insulin should be given before a meal to allow time for onset; giving it after eating delays its effect, increasing hyperglycemia risk.

B. Incorrect. Administering regular insulin after breakfast is inappropriate as it may not align with meal-related glucose spikes.

C. Correct. Regular insulin has an onset of 30 minutes. Administering it at 0730 ensures optimal timing for glucose control when breakfast is eaten at 0800.

D. Incorrect. Giving insulin too early (at 0700) increases the risk of hypoglycemia before food intake.

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Correct Answer is A

Explanation

A. Correct. A platelet count <20,000/μL increases bleeding risk. Checking for occult blood helps detect hidden gastrointestinal bleeding.

B. Incorrect. Hydration is important but does not directly address thrombocytopenia management.

C. Incorrect. While oral hygiene is important, frequent brushing could cause bleeding with low platelets.

D. Incorrect. Monitoring temperature is important for infection risk but does not address bleeding concerns.

A. chart B. order sheet C. medication administration record D. identification wristband

Correct Answer is D

Explanation

A. Chart – Contains patient information but is not used for immediate verification before transfusion.

B. Order sheet – Ensures the transfusion is ordered but does not confirm patient identity.

C. Medication administration record – Lists medications but is not used to verify transfusion identity.

D. Identification wristband – Correct Answer. The wristband is the most accurate and immediate source for patient verification before administering blood products.

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A nurse is caring for a patient who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take?

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