The nurse monitoring a client receiving insulin glulisine ...

[JGIBBSON]

The nurse monitoring a client receiving insulin glulisine (Apidra) notices the client has become confused, diaphoretic, and nauseated. The nurse checks the client's blood glucose and it is 60 mg/dL.
 
  Which of the following would the nurse most likely give? Select all that apply.
 
  A) Orange or other fruit juice
  B) Glucose tablets
  C) Insulin glargine (Lantus)
  D) Hard candy
  E) Insulin detemir (Levemir)

Question 2

As part of the ongoing assessment of a client receiving insulin detemir, the nurse would suspect that the insulin is not effective based on assessment of which of the following? Select all that apply.
 
  A) Increased thirst
  B) Increased urination
  C) Increased appetite
  D) Confusion
  E) Abdominal pain

[Bsand8]

Answer to Question 1

Ans: A, B, D
Feedback:
Methods of terminating a hypoglycemic reaction include the administration of one or more of the following: orange or other fruit juice, hard candy or honey, glucose tablets, glucagon, or glucose 10 or 50 IV.

Answer to Question 2

Ans: A, B, E
Feedback:
If the insulin was not effective, the client would exhibit signs and symptoms of hyperglycemia including drowsiness, dim vision, thirst, nausea, vomiting, abdominal pain, loss of appetite, acetone breath, and excessive urination.

[JGIBBSON]

Gracias!

[tuate]

Excellent