A teenage diabetic client is admitted for a fourth episode of profound hypoglycemia in 6 months. Besides assessing the client's knowledge level, the nurse should also question the client about
a. deliberate errors in insulin dosage.
b. how often the client performs quality checks on the glucometer.
c. where the client gets diabetic supplies.
d. whether the client uses human- or animal-based insulin brands.
A
Inadvertent or deliberate errors in insulin dose are a frequent cause of hypoglycemia. Other causes include schedule changes; vigorous, unplanned exercise; vomiting; or oversleeping in the morning. Certainly the glucometer should be checked for accuracy, but with so many hypogly-cemic episodes, the nurse should gently inquire about deliberate overdose.
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