The nurse is instructing a client on the effects of insulin. What will the nurse include as the primary adverse effect?
1. Somogyi phenomenon
2. Swollen lymph glands
3. Hypoglycemia
4. Urticaria
Correct Answer: 3
Rationale 1: Somogyi phenomenon, a rapid decrease in blood glucose, is not the primary adverse effect.
Rationale 2: Swollen lymph glands can occur but are not the primary adverse effect of insulin.
Rationale 3: The primary adverse effect of insulin is hypoglycemia.
Rationale 4: Urticaria—itching hives—can occur but is not the primary adverse effect of insulin.
Global Rationale: The primary adverse effect of insulin is hypoglycemia. The remaining effects can occur but are not common or the primary adverse effect.
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