A nurse administers insulin to a client with type 1 diabetes. At what time should the nurse be most alert for signs of hypoglycemia?
1:00 p.m.
10:00 a.m.
8:00 a.m.
5:00 p.m.
The Correct Answer is B
Choice A reason: 1:00 p.m. may be too late to observe peak hypoglycemic effects depending on the type of insulin given. Most short-acting insulins peak within 2–4 hours.
Choice B reason: If insulin was administered at 8:00 a.m., hypoglycemia would most likely occur around 10:00 a.m., which aligns with the peak action of regular or rapid-acting insulin. This is the most critical window for monitoring.
Choice C reason: 8:00 a.m. is likely the time of insulin administration, not when hypoglycemia would occur.
Choice D reason: 5:00 p.m. is too far from the morning dose to be the peak time for hypoglycemia unless another dose was given in the afternoon.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Diminished or absent pulses suggest compromised arterial blood flow, which may indicate vascular injury or compartment syndrome. This is a critical finding that requires urgent evaluation and intervention to prevent permanent damage.
Choice B reason: The ability to wiggle toes and foot indicates intact motor function and is a reassuring sign of preserved neurovascular status. It does not suggest impairment.
Choice C reason: A capillary refill time of 2 seconds is within normal limits and suggests adequate peripheral perfusion. It does not indicate neurovascular compromise.
Choice D reason: A warm temperature compared to the unaffected leg is not typically concerning. In fact, a cooler temperature would be more indicative of impaired circulation.
Correct Answer is A
Explanation
Choice A reason: Hyperkalemia (potassium level of 6 mEq/L) can cause life-threatening cardiac dysrhythmias. Evaluating the ECG is the priority to detect any cardiac conduction abnormalities.
Choice B reason: Bowel sounds are not directly affected by hyperkalemia and are not a priority in this context.
Choice C reason: While blood pressure monitoring is important in general, it is not the most urgent concern when potassium levels are critically elevated.
Choice D reason: Consulting a dietitian may help with long-term potassium management, but it is not an immediate intervention for hyperkalemia.
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