A client with diabetes is experiencing symptoms of hypoglycemia, including sweating, shakiness, and confusion. Which action by the nurse is appropriate for hypoglycemia management?
Administering a long-acting insulin injection
Providing a high-fat snack
Giving a rapid-acting insulin injection
Offering a source of fast-acting carbohydrates
The Correct Answer is D
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.
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Correct Answer is D
Explanation
Long-acting insulin provides a steady baseline level of insulin, mimicking the body's basal insulin secretion.
Incorrect choices:
a. Rapid-acting insulin is used to control post-meal glucose spikes.
b. Short-acting insulin is used to cover mealtime glucose elevations.
c. Intermediate-acting insulin provides coverage beyond mealtime but does not mimic basal insulin as closely as long-acting insulin.
Correct Answer is C
Explanation
Encouraging the client to consume a high-protein snack. Consuming a high-protein snack along with a source of fast-acting carbohydrates helps stabilize blood sugar levels and prevent further hypoglycemia.
Incorrect choices:
a. Administering glucagon injection is indicated for severe hypoglycemia when the client is unconscious or unable to swallow.
b. Starting an IV glucose infusion is reserved for severe hypoglycemia cases that are unresponsive to other interventions or when the client is unable to tolerate oral intake.
d. Monitoring blood sugar levels every 4 hours is a routine practice but does not address the immediate need to treat hypoglycemia.
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