A patient with a history of type 1 diabetes mellitus has a fasting whole blood specimen drawn as part of a pre-employment physical.The patient's blood glucose level is 86 mg/dL.Which intervention by the nurse is most appropriate?
A)Advise the patient to remember to eat a bedtime snack every night.
B)Assess the patient for signs and symptoms of hypoglycemia.
C)Determine the timing and amount of the last dose of insulin.
D)Provide the patient with a glass of orange juice.

Question

Quizplus · Accepted Answer

As a patient with a history of type 1 diabetes mellitus, it is important to assess the timing and amount of the last dose of insulin. This will provide important information about the patient's current glucose levels and help guide further interventions if needed. Eating a bedtime snack or providing a glass of orange juice would not be necessary with a fasting blood glucose level of 86 mg/dL. Assessing for signs and symptoms of hypoglycemia may be important, but it would not be the most appropriate initial intervention.

A Patient with a History of Type 1 Diabetes Mellitus