A client with type 1 diabetes is experiencing variability in blood glucose levels throughout the day. What should the nurse teach the client about monitoring and adjusting insulin therapy?
Administer the same dose of insulin regardless of the meal's carbohydrate content.
Monitor blood glucose levels only once daily to avoid stress.
Adjust insulin doses based on blood glucose patterns and carbohydrate intake.
Use rapid-acting insulin for basal coverage and long-acting insulin for meal coverage.
The Correct Answer is C
Monitoring blood glucose levels regularly and adjusting insulin doses based on patterns and carbohydrate intake helps maintain stable blood glucose levels.
Incorrect choices:
a. Administering the same insulin dose regardless of carbohydrate content can lead to inconsistent blood glucose control.
b. Monitoring blood glucose levels only once daily does not provide enough information for effective insulin dosing adjustments.
d. The described approach involves using insulin types inappropriately for their intended purposes.
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Related Questions
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 A
Explanation
An insulin-to-carbohydrate ratio (ICR) of 1:10 means that for every 1 unit of insulin, the client should consume 10 grams of carbohydrates to help manage postprandial glucose levels.
Incorrect choices:
b. Injecting 10 units of insulin for every 1 gram of carbohydrates would result in excessive insulin dosing and potential hypoglycemia.
c. Consuming 10 units of insulin for every 1 unit of carbohydrates would lead to excessive insulin administration and hypoglycemia.
d. Injecting 1 unit of insulin for every 10 grams of carbohydrates would result in insufficient insulin dosing and potentially high blood glucose levels.
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