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    Ati pharmacy final proctored exam

    A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take?

    Explanation & Rationale

    A. Give the insulin at 0700: Giving the insulin a full hour before breakfast (at 0800) would mean its onset of action would occur before the client starts eating. This could lead to hypoglycemia before or early in the meal, as the insulin begins to act before carbohydrates are readily available for absorption. B. Give the insulin at 0730: Administering regular insulin 30 minutes before the meal allows for its typical onset of action to coincide with the absorption of glucose from the breakfast, helping to prevent post-meal hyperglycemia without causing significant pre-meal hypoglycemia. C. Give the insulin when the breakfast tray arrives: While this is better than giving it too early, the tray might arrive at 0800 or slightly after. Giving it exactly when the tray arrives might still be a bit late, as the client will likely start eating immediately, and the insulin needs about 30 minutes to start working effectively. This could lead to a post-meal glucose spike. D. Give the insulin 30 min after breakfast with the client's other routine medicines: Administering it after the meal would not effectively manage the post-meal blood glucose spike, as insulin works best when it is given shortly before the meal.

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