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.