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
Storing insulin in a cooler bag with ice packs can help maintain its temperature and effectiveness during hot weather.
Incorrect choices:
a. Storing insulin in the freezer is not recommended, as it can alter the medication's properties and impact its efficacy.
c. Storing insulin in direct sunlight can expose it to extreme temperatures and affect its potency.
d. Leaving insulin in a parked car, even with cracked windows, exposes it to temperature fluctuations and extreme heat, which can impact its effectiveness.
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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