Which situation would most appropriately describe a client possibly require glucose management by sliding scale insulin?

clients with type 1 or type 2 diabetes mellitus experiencing illness, stress, or surgery

clients participating in a rigorous sport or activity

clients with type 1 diabetes mellitus experiencing illness, stress, or surgery

clients newly diagnosed with type 2 diabetes mellitus

Answer and Explanation

The Correct Answer is A

A. Clients with type 1 or type 2 diabetes mellitus experiencing illness, stress, or surgery: Sliding scale insulin is often used during illness, stress, or surgery to adjust insulin doses based on blood glucose levels in both type 1 and type 2 diabetes.

B. Clients participating in a rigorous sport or activity: Sliding scale insulin is not typically used during exercise. Insulin adjustments for exercise are generally based on the individual’s patterns and current glucose levels.

C. Clients with type 1 diabetes mellitus experiencing illness, stress, or surgery: While Type 1 diabetics require sliding scale insulin in these situations, this option excludes Type 2 diabetics who also frequently need sliding scale insulin during periods of acute illness or stress.

D. Clients newly diagnosed with type 2 diabetes mellitus: Newly diagnosed type 2 diabetes clients typically begin with oral medications or long-acting insulin, not sliding scale insulin, which is used during acute conditions.

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Correct Answer is B

Explanation

A. Notify the night supervisor of the patient's deteriorating condition: While it’s important to keep supervisors informed, hypoglycemia needs to be treated immediately. The priority action is to raise the patient’s blood glucose level, not waiting to notify the supervisor.

B. The patient is experiencing symptoms of hypoglycemia, and the best initial action is to give a fast-acting carbohydrate like orange juice (about 15g of sugar). After 15 minutes, the blood sugar should be rechecked. Following the treatment with a complex carbohydrate and protein helps to maintain blood glucose levels and prevent recurrence of hypoglycemia.

C. Ambulate the patient in the hall to use up excess glucose with exercise: Exercise can lower blood glucose levels, which would be dangerous in a hypoglycemic patient. The priority is to raise the blood sugar rather than use exercise to manage glucose levels.

D. Give insulin by sliding scale based on glucometer reading: The patient’s blood sugar is low (51 mg/dL), which indicates hypoglycemia, not hyperglycemia. Insulin should not be administered in this situation, as it would further decrease the blood glucose levels.

A. The patient eats a high-carbohydrate snack before the exercise period. B. The patient reduces insulin use during days when exercise periods are planned. C. The patient should know blood sugar before activity. D. The patient administers insulin after exercise rather than before exercise.

Correct Answer is C

Explanation

A. The patient eats a high-carbohydrate snack before the exercise period: It is important for a patient with type 1 diabetes to ensure they have adequate glucose levels for exercise. Eating a high-carbohydrate snack before exercise is not always necessary unless blood glucose is low.

B. The patient reduces insulin use during days when exercise periods are planned: Insulin needs may be adjusted in relation to exercise, but reducing insulin across the board is not recommended without professional guidance.

C. The patient should know blood sugar before activity: It is important for patients with type 1 diabetes to check their blood sugar before exercise to ensure it is in a safe range. If the blood sugar is too low, they should consume a carbohydrate to prevent hypoglycemia.

D. The patient administers insulin after exercise rather than before exercise: Insulin should be timed appropriately to cover food intake and prevent post-meal hyperglycemia. Delaying insulin until after exercise could lead to high blood sugar levels.

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Which situation would most appropriately describe a client possibly require glucose management by sliding scale insulin?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A patient with type 1 diabetes mellitus is preparing for a moderate 30-minute exercise period. Which action best indicates understanding of condition management?

Correct Answer is C

Explanation

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