A hospitalized client has a blood glucose of 118 mg/dL and i… | MyMerci
Medication AdministrationPPT
Question
A hospitalized client has a blood glucose of 118 mg/dL and is prescribed rapid-acting insulin before breakfast. Which action should the nurse take before administering the insulin?
1Give the insulin and hold breakfast for 1 hour.
2Mix the rapid-acting insulin with long-acting insulin.
3Administer the insulin only after the glucose is above 200 mg/dL.
4Confirm that the breakfast tray is available.✓ Correct answer
Explanation
Rapid-acting insulin begins working quickly and should be coordinated with food intake to reduce hypoglycemia risk. The nurse should make sure the meal is available before administration. Holding food after insulin or mixing with long-acting insulin is unsafe, and arbitrary glucose thresholds do not replace the prescription and facility protocol.
In-depth explanation
Clinical Judgment Medication timing must match onset and client meal access.
Memory Tip Rapid insulin needs rapid food.
KR vs US NCLEX insulin safety often tests meal timing and hypoglycemia prevention.
Clinical scenario
Clinical Practice Guide Rapid-acting insulin is administered close to meals because of quick onset. Safe administration includes matching insulin timing with nutrition availability.
Caution Always verify the insulin type, dose, glucose value, and meal status.
Key concepts
Rapid-Acting Insulin — Insulin with quick onset used to cover meals or correct hyperglycemia, requiring attention to meal timing.
Hypoglycemia — Low blood glucose that may occur if insulin action is not matched with carbohydrate intake.
Medication Administration — Safe process of giving medications using the right client, medication, dose, route, time, and assessment.