A hospital patient's medication administration record specifies a dose of NPH insulin to be administered subcutaneously at 8 AM. The nurse has checked the patient's blood glucose level prior to administering the drug and it is 55 mg/dl.
How should the nurse respond to this assessment finding?
A) Administer the scheduled dose of insulin and encourage the patient to eat breakfast promptly.
B) Withhold the insulin and facilitate a dose of intravenous glucagon.
C) Hold the dose of insulin and consult with the patient's primary care provider.
D) Administer half of the ordered dose before breakfast and half of the dose after breakfast.
Question 2
A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery.
Which of the following insulin regimens is most likely to achieve adequate glycemic control?
A) Small doses of long-acting insulin administered four to five times daily
B) Doses of basal insulin twice daily with regular insulin before each meal
C) Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening
D) Divided doses of intermediate-acting insulin every 2 hours, around the clock
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