NCLEX-RN

Category - Reduction of Risk

A client with type 1 diabetes is scheduled for hip surgery. The most important action of the nurse on the morning of the surgery is which of the following?
  1. The nurse administers the client’s full daily insulin dose.
  2. The nurse offers ice chips to quench the client’s thirst.
  3. The nurse either holds the client’s insulin dose or gives 1/2 of the client’s usual dose, depending on physician order.
  4. The nurse administers an oral anti-diabetic drug.
Explanation
Answer - C - A client holds the insulin dose or administers 1/2 of the usual insulin dose. Giving a full dose to an NPO client can cause hypoglycemia.
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