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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Continue with the regular insulin regimen as usual. It is important for the client to maintain blood glucose control even on the day of surgery. The nurse should advise the client to follow the regular insulin regimen unless otherwise instructed by the healthcare provider.
Incorrect choices:
b. Skipping insulin doses can lead to hyperglycemia and unstable blood glucose levels, especially during fasting.
c. Decreasing the insulin dose without appropriate guidance can result in poor blood glucose control.
d. Stopping insulin therapy abruptly can lead to hyperglycemia and potential complications. Insulin adjustments should be made under healthcare provider supervision.
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