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 D
Explanation
Offering a source of fast-acting carbohydrates. Fast-acting carbohydrates, such as glucose tablets or juice, can quickly raise blood sugar levels and alleviate hypoglycemic symptoms.
Incorrect choices:
a. Administering a long-acting insulin injection would not address the immediate need to raise blood sugar levels during an episode of hypoglycemia.
b. Providing a high-fat snack would not rapidly increase blood sugar levels and alleviate symptoms of hypoglycemia.
c. Giving a rapid-acting insulin injection would further lower blood sugar levels and worsen hypoglycemia symptoms.
Correct Answer is A
Explanation
Insulin therapy is a critical component of treatment for individuals with type 1 diabetes, as their pancreas does not produce insulin.
Incorrect choices:
b. Type 2 diabetes may initially be managed with oral medications, diet, and exercise, and insulin therapy might be added later if other treatments are not effective.
c. Gestational diabetes usually involves dietary changes and monitoring blood glucose levels. Insulin therapy may be necessary in some cases, but it is not typically the first-line treatment.
d. Pre-diabetes indicates higher-than-normal blood glucose levels, but insulin therapy is not usually required at this stage.
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