A client with diabetes is learning about managing hypoglycemia. Which statement by the client indicates a need for further education?
"I will keep glucose tablets or gel on hand to treat low blood sugar."
"If my blood sugar is low, I'll drink a glass of orange juice."
"I'll eat a high-protein snack to help prevent blood sugar from dropping too low."
"I should follow up with my healthcare provider if I experience frequent episodes of hypoglycemia."
The Correct Answer is B
While orange juice can raise blood sugar quickly, it can also cause a rapid spike and subsequent crash, leading to further hypoglycemia.
Incorrect choices:
a. Keeping glucose tablets or gel on hand is a recommended practice to rapidly raise blood sugar in case of hypoglycemia.
c. Eating a high-protein snack can help stabilize blood sugar and prevent it from dropping too low.
d. Following up with a healthcare provider about frequent episodes of hypoglycemia is important to adjust insulin therapy and prevent future episodes.
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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.
Correct Answer is B
Explanation
Insulin therapy for type 1 diabetes is individualized and based on factors such as the client's weight, activity level, blood sugar levels, and overall health. The healthcare provider will determine the appropriate insulin dose for the client.
Incorrect choices:
a. Adjusting insulin dose based on how one feels is not a safe or accurate method. Insulin dosing should be guided by healthcare provider recommendations.
c. Starting with a high dose of insulin is not advisable and can lead to hypoglycemia. Insulin dosing should be started conservatively and adjusted as needed.
d. While monitoring blood sugar levels before and after meals is important for diabetes management, it is not the sole method for determining insulin dosing. Healthcare provider guidance is essential.
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