Which action should the nurse take after a 36-year-old patient ...

[nelaaney]

Which action should the nurse take after a 36-year-old patient treated with intramuscular glucagon for hypoglycemia regains consciousness?
 
  a. Assess the patient for symptoms of hyperglycemia.
  b. Give the patient a snack of peanut butter and crackers.
  c. Have the patient drink a glass of orange juice or nonfat milk.
  d. Administer a continuous infusion of 5 dextrose for 24 hours.

Question 2

The health care provider suspects the Somogyi effect in a 50-year-old patient whose 6:00 AM blood glucose is 230 mg/dL. Which action will the nurse teach the patient to take?
 
  a. Avoid snacking at bedtime.
  b. Increase the rapid-acting insulin dose.
  c. Check the blood glucose during the night
  d. Administer a larger dose of long-acting insulin.

[Kjones0604]

Answer to Question 1

ANS: B
Rebound hypoglycemia can occur after glucagon administration, but having a meal containing complex carbohydrates plus protein and fat will help prevent hypoglycemia. Orange juice and nonfat milk will elevate blood glucose rapidly, but the cheese and crackers will stabilize blood glucose. Administration of IV glucose might be used in patients who were unable to take in nutrition orally. The patient should be assessed for symptoms of hypoglycemia after glucagon administration.

Answer to Question 2

ANS: C
If the Somogyi effect is causing the patient's increased morning glucose level, the patient will experience hypoglycemia between 2:00 and 4:00 AM. The dose of insulin will be reduced, rather than increased. A bedtime snack is used to prevent hypoglycemic episodes during the night.

[nelaaney]

Thank you

[Kjones0604]

Happy to help you