Difficulty: Medium
Average Score: 78%
Full-length
Passage / Scenario
Laboratory Reference RangesGlucose ÔÇô Fasting
70ÔÇô110 mg/dL
(3.9ÔÇô6.1 mmol/L)
A client with type 1 diabetes is prescribed NPH insulin before breakfast and dinner. Although the client reports feeling well, the 6 AM fasting blood glucose is 60 mg/dL. Which action should the nurse recommend to the client?
Correct answer
B
Rationale
A fasting blood glucose of 60 mg/dL indicates hypoglycemia risk with NPH insulin, which peaks overnight. A bedtime snack prevents nocturnal hypoglycemia. Ketones are checked for hyperglycemia, increased carbohydrates may cause hyperglycemia, and skipping doses disrupts control.