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

Answer and Explanation

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 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.

A. Draw up the rapid-acting insulin first. B. Draw up the intermediate-acting insulin first. C. It doesn't matter which insulin is drawn up first. D. Draw up the regular insulin first.

Correct Answer is A

Explanation

Drawing up rapid-acting insulin before intermediate-acting insulin prevents contamination of the rapid-acting insulin vial with the longer-acting insulin.

Incorrect choices:

b. Drawing up intermediate-acting insulin first can contaminate the vial with rapid-acting insulin, potentially altering dosing accuracy.

c. The order in which insulin is drawn up does matter to prevent contamination.

d. Regular insulin is not commonly used for injection in routine insulin therapy.

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A client with diabetes is experiencing symptoms of hypoglycemia, including sweating, shakiness, and confusion. Which action by the nurse is appropriate for hypoglycemia management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with diabetes is scheduled for surgery and will be fasting before the procedure. How should the nurse instruct the client about monitoring and adjusting insulin therapy on the day of surgery?

Correct Answer is A

Explanation

When drawing up insulin from two different vials (e.g., rapid-acting and intermediate-acting insulin), which type of insulin should be drawn up first?

Correct Answer is A

Explanation

A client is receiving multiple daily injections of insulin. Which technique by the client indicates a need for further education?

A client with type 2 diabetes has been on insulin therapy for several months. The client reports frequent episodes of hypoglycemia. Which action by the nurse is appropriate for monitoring and adjusting insulin therapy?

What is the primary purpose of insulin therapy?

A client with type 1 diabetes is starting insulin therapy. The client asks the nurse, "How do I know what dose of insulin to take?" What is the nurse's best response?

A nurse is providing education to a client newly diagnosed with type 1 diabetes who will be starting insulin therapy. Which statement by the client indicates a need for further education?

A client with diabetes is going on a vacation and asks the nurse about storing insulin while traveling. Which response by the nurse is accurate regarding insulin storage and handling during travel?

A client with diabetes is experiencing hypoglycemia and is conscious. The nurse provides the client with a glucose gel tube. What should the nurse instruct the client to do next?

A client with diabetes is experiencing hypoglycemia and is conscious. Which intervention should the nurse implement for hypoglycemia management?