The Patient has a nutritional dose of Humalog insulin of 5 units before each meal, plus Humalog insulin per sliding scale.
Blood Glucose Level sliding scale
(mg per dL) Humalog Insulin
If less than 70 and symptomatic administer 1 mg Glucagon IM then call MD 150-200 2 units
201-250 4 units
251-300 6 units
301-350 8 units
351-40010 units
Greater than 400 Call MD
The patient's meal has been delivered. the nurse checks the patient's pre-meal blood sugar, and the result is 64 mg/dL.
The patient is awake, and alert. and able to swallow. The next step the nurse should take is:
Call the MD.
Administer 1 mg Glucagon IM.
Administer 5 units of Humalog insulin.
Encourage the patient to eat their meal.
The Correct Answer is B
Since the patient's blood glucose level is less than 70 mg/dL and they are symptomatic, the first step is to administer 1 mg Glucagon IM. This will help increase the patient's blood glucose level quickly.
After administering Glucagon, the nurse should then call the MD to report the low blood glucose level and discuss any necessary adjustments to the patient's insulin regimen. It is important to note that in this situation, administering Humalog insulin would further lower the patient's blood glucose level and could worsen their symptoms. Encouraging the patient to eat their meal is also important, but it should be done after the administration of Glucagon to help maintain their blood glucose level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should explain to the patient that phenazopyridine is a medication that can help relieve the pain, burning, and urgency associated with UTIs. However, it does not treat the underlying infection. The nurse should also instruct the patient to take the medication as prescribed by the healthcare provider and inform them that the medication may turn their urine an orange or red color, which is a harmless and expected side effect.
The nurse should also inform the patient that taking phenazopyridine before sexual intercourse is not recommended and that the medication should be taken as directed by the healthcare provider.
Correct Answer is B
Explanation
The correct action for the nurse to take first when preparing to teach a newly diagnosed 43-year-old man with type 2 diabetes home management of the disease is to assess the patient's perception of what it means to have diabetes. This will help the nurse to identify any misconceptions or fears the patient may have about the condition, and tailor the education to meet the patient's specific needs. Options A, C, and D are important components of diabetes education but can be addressed after the nurse has assessed the patient's perception of the disease.
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