The client is experiencing an episode of hypoglycemia. The nurse understands that the physiological mechanism that should take place to combat this decrease in the blood glucose level is:
1. Decreased cortisol release
2. Increased insulin secretion
3. Decreased epinephrine release
4. Increased glucagon secretion
4
Rationale: Glucagon is secreted from the alpha cells in the pancreas in response to declining blood glucose levels. At the same time, hypoglycemia triggers increased cortisol release, increased epinephrine release, and decreased secretion of insulin. "Decreased cortisol release," "increased insulin secretion," and "decreased epinephrine release" are not physiological mechanisms that take place to combat the decrease in the blood glucose level.
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