A client using an insulin pump has glucose 338 mg/dL during an illness. Classify each action by its role.
Matrix
Choose your responses, then check the answer.
Explanation
The client should confirm glucose, inspect delivery and tubing, use the authorized correction and backup plan, monitor closely, and seek help if glucose does not improve.
Quick answer Troubleshoot delivery, correction, and escalation.
Why this is correct Pump under-delivery can rapidly cause hyperglycemia. FDA home-use guidance emphasizes inspection, backup injection supplies, provider-directed corrections, and close monitoring.
Easy analogy or mental picture Think of medication safety as a control panel: identify the dangerous signal, change the correct control, and verify the response.
Memory hook Cue, action, response, reassessment.
NCLEX decision rule Choose the action that prevents the most immediate medication-related harm while preserving the continuing indication.
Why the other choices are wrong Options that delay escalation, ignore a contraindication, or change therapy without authorization do not close the safety loop.
References
1FDA: Insulin Pumps - Tips for Home UseHyperglycemia troubleshooting, delivery checks, backup supplies, correction plans, and escalation
Medication safety reviewVerify the indication, current assessment, laboratory trend, timing, interactions, authorized action, and measurable follow-up.