The type 1 diabetic patient has an insulin order for NPH insulin, 35 U, to be given at 7 AM. The patient is also NPO for laboratory work that will not be drawn until 10 AM. The nurse should:
1. give the insulin as ordered.
2. give the insulin with a small snack.
3. inform the charge nurse.
4. hold the insulin until after the blood draw.
4
Holding the insulin for the NPO order is appropriate. The patient will not be getting food until after the blood draw, so will not need the insulin until then. Giving the insulin as or-dered will create a possibility of hypoglycemia before the blood is drawn. Giving a snack to a patient who is NPO is inappropriate.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1014
OBJ: 10 TOP: Insulin with NPO Order
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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