The client received lispro (Humalog) insulin with breakfast. Two ...

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The client received lispro (Humalog) insulin with breakfast. Two hours later, the client experiences confusion, sweating, and dizziness. Why are these symptoms occurring?
 
  1. The client is experiencing hyperglycemia.
  2. The client is experiencing an allergic reaction to lispro (Humalog).
  3. The client is experiencing a myocardial infarction.
  4. The client is experiencing hypoglycemia.

Question 2

The nurse administered insulin lispro (Humalog) to the client at 8:00 a.m. When would the nurse reassess the client's blood glucose level to monitor for hypoglycemia?
 
  1. 9:00 a.m.
  2. 11:00 a.m.
  3. 1:00 p.m.
  4. 3:00 p.m.

[mmpiza]

Answer to Question 1

4

Rationale 1: These are symptoms of hypoglycemia.
Rationale 2: These are symptoms of hypoglycemia.
Rationale 3: These are symptoms of hypoglycemia.
Rationale 4: Signs of hypoglycemia include the sudden onset of pale, cool, and moist skin; confusion; mild tremors; and dizziness.

Global Rationale: Signs of hypoglycemia include the sudden onset of pale, cool, and moist skin; confusion; mild tremors; and dizziness. The symptoms do not indicate hyperglycemia, an allergic reaction, or a myocardial infarction.

Answer to Question 2

1

Rationale 1:The nurse should check for signs of hypoglycemia around the time of insulin peak activity. For insulin lispro (Humalog), that is 0.5 hours to 1 hour after administration.
Rationale 2:The time is too long after the peak time of insulin lispro.
Rationale 3:The time is too long after the peak time of insulin lispro.
Rationale 4:The time is too long after the peak time of insulin lispro.

Global Rationale: The nurse should assess for hypoglycemia around the time of peak activity. For insulin lispro (Humalog), that is 0.5 hours to 1 hour.

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TYSM

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Gracias!