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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

Glucagon is administered as an injection, usually subcutaneously or intramuscularly, to rapidly raise blood glucose levels during severe hypoglycemia.

Incorrect choices:

a. Glucagon is administered differently from insulin injections and is intended for emergency use during severe hypoglycemia.

b. Glucagon is not available in oral tablet form due to its protein nature, which would be broken down in the digestive system.

d. Glucagon is not typically administered intravenously but rather through subcutaneous or intramuscular injection for rapid action.

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 is prescribed insulin therapy and is experiencing hypoglycemia. The nurse prepares to administer glucagon. How should the nurse explain the dosing of glucagon?

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

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

How is insulin administered?

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?