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A client with diabetes is unconscious and experiencing severe hypoglycemia. What is the appropriate nursing intervention for hypoglycemia management?

Administering an oral glucose solution

Initiating insulin infusion

Administering a subcutaneous glucagon injection

Encouraging the client to consume a high-protein meal

Answer and Explanation

The Correct Answer is C

Glucagon is administered in cases of severe hypoglycemia to rapidly raise blood sugar levels in an unconscious client.

Incorrect choices:

a. Administering an oral glucose solution is not appropriate for an unconscious client who cannot swallow.

b. Initiating an insulin infusion would further lower blood sugar levels and worsen the hypoglycemic state.

d. Encouraging the client to consume a high-protein meal is not feasible for an unconscious client.

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Correct Answer is C

Explanation

Basal insulin is typically taken once or twice a day to provide a steady baseline level of insulin, while prandial (mealtime) insulin is taken before meals to control post-meal blood sugar spikes.

Incorrect choices:

a. Basal insulin indeed provides a steady amount of insulin to cover the body's basic metabolic needs between meals and overnight. This statement is correct.

b. Prandial insulin does help control the rise in blood sugar after meals. This statement is correct.

d. Prandial insulin is indeed a type of rapid-acting insulin used to cover meals and control post-meal blood sugar levels. This statement is correct.

A. "You will need to adjust your insulin dose based on how you feel each day." B. "Your healthcare provider will prescribe a specific insulin dose that you should follow." C. "It's best to start with a high dose of insulin and gradually decrease it over time." D. "You can determine your insulin dose by checking your blood sugar level before and after each meal."

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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A client with diabetes is unconscious and experiencing severe hypoglycemia. What is the appropriate nursing intervention for hypoglycemia management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with diabetes is prescribed both basal and prandial insulin. The nurse is teaching the client about the difference between these two types of insulin. Which statement by the client indicates a need for further education?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

A client newly diagnosed with type 2 diabetes is prescribed insulin therapy. The client asks the nurse, "Why do I need insulin if I have type 2 diabetes?" Which response by the nurse is accurate?

How is insulin administered?

A nurse is educating a client on self-monitoring blood glucose (SMBG) levels. Which statement by the client indicates a need for further education?

A nurse is teaching a client with diabetes about insulin therapy. Which statement by the client indicates a need for further education?

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

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

A client is transitioning from an insulin pump to multiple daily injections. Which of the following statements about mealtime insulin dosing is accurate?

What is the recommended technique for insulin injection?