The nurse administers 15 units of aspart insulin subcutaneously to a hospitalized client with type 1 diabetes mellitus at 7:00 AM for a fasting blood glucose of 180 mg/dL (10 mmol/L). Which nursing action is a priority?

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11ecbb05_cc77_3dca_b433_25160b93a474_MD0009_00 Aspart (NovoLOG) is a rapid-acting insulin with an onset of 10-15 minutes. Onset is the time it takes for the insulin to enter the circulation and begin to lower blood glucose. The peak effect takes 30 minutes-3 hours and the duration of action is 3-5 hours. It is important for the nurse to ensure that the client eats within 15 minutes of administration of aspart/lispro/glulisine to prevent an insulin-related hypoglycemic reaction (Option B). (Option A) The client is at risk for a hypoglycemic reaction if breakfast is delayed for 30 minutes. (Option C) Rechecking the blood glucose in 1 hour is not indicated unless hypoglycemia is suspected. (Option D) Teaching is vital, but it is most important to ensure that the client eats breakfast to prevent a hypoglycemic reaction at drug onset. Educational objective: It is important for the nurse to ensure that the client eats within 15 minutes of administration of rapid-acting insulins such as aspart (NovoLOG), lispro (HumaLOG), and glulisine (Apidra) to prevent an insulin-related hypoglycemic reaction.

The Nurse Administers 15 Units of Aspart Insulin Subcutaneously to a Hospitalized