Examkin

Soru

Zorluk: KolayPhysiological Adaptation

A conscious client with diabetes mellitus reports feeling shaky, diaphoretic, and weak. Arrange the following nursing actions in the correct chronological sequence according to the standard management of hypoglycemia.

  1. 1Perform a capillary blood glucose test to confirm hypoglycemia.
  2. 2Administer 15 grams of a fast-acting, simple carbohydrate.
  3. 3Wait 15 minutes to allow for glucose absorption.
  4. 4Recheck the capillary blood glucose level.
  5. 5Provide a snack containing complex carbohydrates and protein.

Cevap

The correct sequence follows the 'Rule of 15': First, perform a blood glucose test to confirm the condition. Second, administer 15 grams of simple carbohydrates. Third, wait 15 minutes. Fourth, recheck the blood glucose level. Finally, provide a complex carbohydrate and protein snack to stabilize the blood sugar.
The 'Rule of 15' provides a systematic, safe, and effective physiological response to hypoglycemia. Assessment always precedes intervention to establish a baseline. Simple carbohydrates are utilized first for their rapid effect, followed by a mandatory waiting period to avoid overtreatment. Reassessment confirms the intervention's success, and a final complex snack prevents secondary hypoglycemic events.

Adım Adım Çözüm

1
Assess the client's current blood glucose level.
Hypoglycemia is verified objectively.
The nursing process mandates assessment prior to intervention to ensure accurate and safe treatment.
2
Provide 15 grams of simple carbohydrates.
Rapid absorption of glucose begins in the digestive tract.
Simple sugars rapidly elevate blood glucose to resolve acute neuroglycopenic symptoms.
3
Wait exactly 15 minutes.
Time is provided for systemic glucose metabolism.
Checking too soon can lead to overtreatment and subsequent rebound hyperglycemia.
4
Reassess the blood glucose level.
Determines if the blood glucose has risen above 70 mg/dL.
Reassessment evaluates if the initial intervention was successful or if another 15 grams of carbohydrates is required.
5
Provide a complex carbohydrate and protein snack.
Blood glucose levels are stabilized for the long term.
Simple carbohydrates act quickly but deplete rapidly; complex carbohydrates provide sustained energy to prevent another sudden drop.

Anahtar Kavram

Hypoglycemia Management Protocol (The Rule of 15)
Bu soruyu puanla

Konular

Physiological Adaptation

Bu konudan daha fazla soru