WITH 100Z5 CORRECT ANSWERS
1. A nurse is caring for a client who is receiving insulin. For
which of the following signs of hypoglycemic reaction
should the nurse observe the client?
a. fruity breath
b. flushing of the face
c. hunger
d. dry, flaky skin 1. Answer: c
Hunger, nausea, pale, cool skin, and sweating are signs of
a hypoglycemic reaction. Fruity breath may accompany
ketoacidosis. Flushing of the face may accompany
hyperglycemia. Dry, flaky skin is unrelated to
hypoglycemia.
2. The nurse is evaluating the client's knowledge of
treatment if an insulin reaction occurs. Which of the
, following actions is most appropriate for the client to
understand?
a. notify the doctor
b. inject a dose of regular insulin
c. lie down and wait for the reaction to disappear
d. take an oral form of glucose. 2. Answer: d
The initial reaction by the client is to take some form of
oral glucose in order to raise the blood glucose level.
Option 1 would delay appropriate self treatment. Option
2 and 3 would cause further harm to the client.
3. The nurse is instructing the client about insulin
administration. Which of the following pieces of client
information alerts the nurse that special instruction
regarding insulin is necessary?
a. client lives in an apartment with spouse
b. client wishes to teach spouse how to administer insulin