The Patient has a nutritional dose of Humalog insulin of 5 units before each meal, plus Humalog insulin per sliding scale.
Blood Glucose Level sliding scale
(mg per dL) Humalog Insulin
If less than 70 and symptomatic administer 1 mg Glucagon IM then call MD 150-200 2 units
201-250 4 units
251-300 6 units
301-350 8 units
351-40010 units
Greater than 400 Call MD
The patient's meal has been delivered. the nurse checks the patient's pre-meal blood sugar, and the result is 64 mg/dL.
The patient is awake, and alert. and able to swallow. The next step the nurse should take is:
Call the MD.
Administer 1 mg Glucagon IM.
Administer 5 units of Humalog insulin.
Encourage the patient to eat their meal.
The Correct Answer is B
Since the patient's blood glucose level is less than 70 mg/dL and they are symptomatic, the first step is to administer 1 mg Glucagon IM. This will help increase the patient's blood glucose level quickly.
After administering Glucagon, the nurse should then call the MD to report the low blood glucose level and discuss any necessary adjustments to the patient's insulin regimen. It is important to note that in this situation, administering Humalog insulin would further lower the patient's blood glucose level and could worsen their symptoms. Encouraging the patient to eat their meal is also important, but it should be done after the administration of Glucagon to help maintain their blood glucose level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A decrease in the level of consciousness is a serious sign and could be an indication of worsening conditions. It is essential for the nurse to ensure that the patient's airway is open and clear, as a compromised airway can lead to hypoxia and a further decrease in consciousness. Therefore, maintaining a patent airway should be the nurse's priority action in this situation.
While monitoring blood pressure and restricting oral intake may be important interventions in certain situations, they are not the priority actions in this scenario. Administering SQ insulin may not be necessary for a patient with hypothyroidism and acute appendicitis.


Correct Answer is B
Explanation
Desmopressin acetate (DDAVP) is a synthetic hormone used to treat diabetes insipidus, which is a condition that causes excessive urination and thirst due to a lack of antidiuretic hormone (ADH) production in the body. By mimicking the effects of ADH, Desmopressin acetate (DDAVP) helps to reduce the amount of urine produced by the body and increase water reabsorption, which helps to alleviate symptoms of diabetes insipidus.
Therefore, the nurse should monitor the patient's urinary output and ensure that it decreases in response to the medication. It is important to note that Desmopressin acetate (DDAVP) can also cause hyponatremia (low sodium levels in the blood), so sodium levels should also be monitored during treatment.

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