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?
Increase the client's insulin dose to prevent high blood glucose levels.
Advise the client to consume more carbohydrates to prevent hypoglycemia.
Collaborate with the healthcare provider to adjust the insulin regimen.
Instruct the client to skip meals to avoid excessive insulin doses.
The Correct Answer is C
Frequent hypoglycemic episodes indicate the need for a possible adjustment in insulin therapy. The nurse should work with the healthcare provider to modify the insulin regimen to better match the client's needs.
Incorrect choices:
a. Increasing the insulin dose without healthcare provider guidance may lead to further hypoglycemia and potential harm.
b. Consuming more carbohydrates may provide temporary relief from hypoglycemia but does not address the underlying insulin dosing issue.
d. Skipping meals can lead to unstable blood glucose levels and is not a recommended approach to managing insulin therapy.
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Related Questions
Correct Answer is D
Explanation
Insulin should be protected from extreme temperatures, including direct sunlight. Freezing or exposing insulin to high temperatures can alter its effectiveness.
Incorrect choices:
a. Storing insulin in the refrigerator is the correct way to maintain its effectiveness.
b. Gently rolling the insulin vial before use helps mix the solution but does not pertain to storage.
c. Checking the expiration date before using insulin is an important step to ensure its safety and effectiveness.
Correct Answer is B
Explanation
Insulin syringes should not be reused due to the risk of contamination, infection, and inaccurate dosing.
Incorrect choices:
a. Drawing up short-acting insulin before long-acting insulin is a recommended practice to prevent contamination of the long-acting insulin vial.
c. Rotating injection sites within the same anatomical area helps prevent lipohypertrophy and ensures consistent absorption.
d. Insulin vials should be kept refrigerated to maintain their potency, but they can be kept at room temperature for up to 28 days once in use to prevent discomfort from cold injections.
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