The nurse has administered 12 units of regular insulin to a client with type 1 diabetes at 0700. Which meal would prevent the client from experiencing hypoglycemia due to this administration?
Breakfast
Supper
Lunch
Snack
The Correct Answer is A
Choice A rationale:
Regular insulin peaks within 2-4 hours after administration. Therefore, to prevent hypoglycemia due to the insulin administered at 0700, the client should eat breakfast within 1-2 hours of insulin administration. This will ensure that there is glucose available in the bloodstream to match the insulin's action and prevent blood sugar levels from dropping too low.
Breakfast is the most important meal of the day, especially for individuals with diabetes. It helps to regulate blood sugar levels throughout the morning and can even help with weight management and overall health.
Skipping breakfast can lead to fluctuations in blood sugar levels and increase the risk of hypoglycemia, especially after insulin administration.
Choice B rationale:
Supper, typically consumed in the evening, would not be timely enough to prevent hypoglycemia due to the 0700 insulin administration. The insulin's peak action would have already subsided by that time, and the client would be at risk for hyperglycemia (high blood sugar) instead.
Choice C rationale:
Lunch, typically consumed around noon, would also be too late to prevent hypoglycemia from the 0700 insulin administration. The insulin's peak action would have already passed, and the client would be more likely to experience hyperglycemia.
Choice D rationale:
A snack, while it can provide some glucose, is not a substitute for a balanced meal like breakfast. Snacks often contain less protein and fiber, which are essential for slowing down glucose absorption and maintaining blood sugar stability. Relying solely on snacks to prevent hypoglycemia is not a reliable strategy for long-term blood sugar management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Severe acidemia: A pH of 6.9 indicates severe acidemia, a condition where the blood is too acidic. Sodium bicarbonate is an alkalizing agent that can help raise the blood pH back to a normal range.
Rapid correction: Intravenous (IVP) administration of sodium bicarbonate allows for rapid correction of acidemia, which is crucial in severe cases to prevent life-threatening complications.
Buffering action: Sodium bicarbonate acts as a buffer, accepting excess hydrogen ions (H+) in the blood and converting them into water and carbon dioxide (CO2), which can be exhaled.
Specific indications: Sodium bicarbonate is typically used in cases of severe acidemia caused by metabolic acidosis, such as diabetic ketoacidosis or lactic acidosis. It may also be considered in cases of respiratory acidosis, but other interventions like ventilatory support are often prioritized.
Choice B rationale:
Calcium carbonate is not a direct treatment for acidemia: It is primarily used as an antacid to neutralize stomach acid and as a calcium supplement for bone health. While it can have a mild alkalizing effect, it is not as effective as sodium bicarbonate in rapidly correcting severe acidemia.
Choice C rationale:
Alkalemia: A pH of 7.6 indicates alkalemia, a condition where the blood is too alkaline. Administration of sodium bicarbonate in this situation would worsen the alkalemia and potentially lead to serious complications.
Choice D rationale:
Hyponatremia: Low serum sodium levels do not directly require treatment with sodium bicarbonate. Sodium bicarbonate is primarily used to address acid-base imbalances, not electrolyte imbalances.
Correct Answer is C
Explanation
Choice A rationale:
Prednisolone is a corticosteroid that has anti-inflammatory and immunosuppressant effects. It does not have a direct effect on urine output.
While it may be used in some cases of head trauma to reduce inflammation, it would not be the first-line choice to address excessive urine output.
Prolonged use of prednisolone can have adverse effects such as fluid retention, weight gain, hypertension, and hyperglycemia.
Choice B rationale:
Corticotropin (ACTH) is a hormone that stimulates the adrenal glands to produce cortisol. Cortisol has a variety of effects, including increasing blood pressure and blood sugar levels.
It does not have a direct effect on urine output and would not be used to address this issue.
ACTH can have significant side effects, including fluid retention, electrolyte imbalances, and mood changes.
Choice C rationale:
Vasopressin is a hormone that regulates fluid balance in the body. It works by increasing water reabsorption in the kidneys, which can help to reduce urine output.
It is the most appropriate medication to administer to a client with excessive urine output following head trauma.
Vasopressin can be administered intravenously or subcutaneously. It is important to monitor the client's fluid intake and output closely when administering vasopressin, as it can lead to fluid overload if not used carefully.
Choice D rationale:
Calciferol is a form of vitamin D that helps to regulate calcium and phosphorus levels in the body. It does not have a direct effect on urine output.
It would not be used to address excessive urine output in a client with head trauma.
Excessive doses of calciferol can lead to hypercalcemia, which can cause kidney stones, bone pain, and other serious problems.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.