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 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.
Correct Answer is C
Explanation
Insulin should be stored at room temperature and protected from extreme temperatures during travel to maintain its effectiveness.
Incorrect choices:
a. Leaving insulin vials on the car dashboard exposes them to heat and temperature fluctuations, which can impact their potency.
b. Storing insulin in the overhead compartment of an airplane may subject it to extreme cold or heat, affecting its effectiveness.
d. Freezing insulin is not recommended, as it can alter the medication's properties and impact its efficacy.
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