PP1 Glucose Meds EAQ

Which advice will the nurse provide to a client who is taking an oral hypoglycemic daily for type 2 diabetes who develops an infection with anorexia? **Select all that apply - avoid solid food - continue to take the oral medication - drink fluids throughout the day - monitor capillary glucose levels - do not take medication until tolerating food

- continue to take the oral medication - drink fluids throughout the day - monitor capillary glucose levels

When teaching a client with type 2 diabetes, which statement by the nurse reflects accurate information about preparing for a serum glucose test? A. "Eat your usual breakfast" B. "Have clear liquids for breakfast" C. "Take your medication before the test" D. "Do not ingest anything before the test"

D. "Do not ingest anything before the test"

Which clinical finding supports the conclusion by a nurse that a client has had a hypoglycemic reaction to insulin? **Select all that apply - irritability - glycosuria - dry, hot skin - heart palpitations - fruity odor of breath

- irritability - heart palpations

The laboratory findings of an obese hypertensive adolescent reveal hyperinsulinemia and dyslipidemia. Which condition would the nurse anticipate incorporating into the plan of care? A. Pulmonary disease B. Musculoskeletal disease C. Insulin resistance syndrome D. Nonacloholic fatty liver disease

C. Insulin resistance syndrome

Which complication of diabetes would the nurse suspect when a health care provider prescribed one tube of glucose gel for a client with type 1 diabetes? A. Diabetic acidosis B. Hyperinsulin secretion C. Insulin-induced hypoglycemia D. Idiosyncratic reactions to insulin

C. Insulin-induced hypoglycemia

Which adverse effect of metformin will a nurse teach a client with type 2 diabetes to monitor for when used as monotherapy? A. Weight gain B. Constipation C. Lactic acidosis D. Hypoglycemia

C. Lactic acidosis

Which medication would be administered to a client who reports sweating, tachycardia, and tremors with a laboratory report that reveals serum cortisol less than normal and a blood glucose level of 60mg/dL? A. Glucagon B. Kayexalate C. Hydrocortisone D. Insulin with dextrose in normal saline

A. Glucagon

An adolescent with type 1 diabetes mellitus is admitted to the intensive care unit in ketoacidosis with a blood glucose level of 170mg/dL (9.4 mmol/L). A continuous insulin infusion is started. Which adverse reaction to the infusion is most important for the nurse to monitor? A. Hypokalemia B. Hypovolemia C. Hypernatremia D. Hypercalcemia

A. Hypokalemia

The nurse plans to teach a school-aged child with type 1 diabetes who is receiving both intermediate-acting insulin and regular insulin daily how to self-administer the insulin before discharge. Which procedure would the nurse teach the child? A. Practice using the nonmedicated insulin pen first B. Alternate sites until the best one to use is found C. Draw up the Novolin N first and then draw up the regular insulin D. Self-inject the insulin immediately after being taught the technique

A. Practice using the nonmedicated insulin pen first

Which purpose is served by an evening snack of milk, crackers, and cheese for a client who is receiving NPH insulin? A. Encouragement to stay on the diet B. Food to counteract late insulin activity C. Added calories to promote weight gain D. High carbohydrates to provide nourishment for immediate use

B. Food to counteract late insulin activity

Which time range would a nurse teach as the highest risk for hypoglycemia to a client with type 1 diabetes who self-administers neutral protamine Hagedorn (NPH) insulin every morning at 8:00AM? A. 9:00AM to 10:00AM B. 10:00AM to 11:00AM C. Noon to 8:00PM D. 8:00PM to Midnight

C. Noon to 8:00PM

Which condition is likely being experienced by a client receiving NPH insulin every morning who reports feeling nervous at 4:30PM and has skin that is moist and cool? A. Hyperosmolar hyperglycemic nonketotic state B. Ketoacidosis C. Glycogenesis D. Hypoglycemia

D. Hypoglycemia

With which condition would the nurse associate the response of diaphoresis, weakness, and pallor at 3:30PM in a client with type 1 diabetes who receives 30 units of neutral protamine Hagedorn (NPH) insulin at 7:00AM? A. Diabetic coma B. Hyperosmolar hyperglycemic nonkinetic syndrome C. Diabetic ketoacidosis D. Hypoglycemic reaction

D. Hypoglycemic reaction

The nurse is planning an evening snack for a child receiving NPH insulin. The nurse offers a snack for which reason? A. It encourages the child to stay on the diet B. Energy is needed for immediate utilization C. Extra calories will help the child gain weight D. Nourishment helps counteract late insulin activity

D. Nourishment helps counteract late insulin activity

For which condition is an oral hypoglycemic agent indicated? A. Ketoacidosis B. Obesity C. Pancreatitis D. Reduced insulin production

D. Reduced insulin production

Which information would the nurse include in a teaching plan when teaching a client with diabetes about the advantages of using an insulin pump? **Select all that apply - it prevents ketoacidosis - it helps cause weight loss - it can improve A1c levels - an insulin pump costs less than subcutaneous injections - clients may be able to exercise without eating more carbohydrates

- it can improve A1c levels - clients may be able to exercise without eating more carbohydrates

Which response would the nurse expect a client experiencing hypoglycemia to exhibit? **Select all that apply - nausea - palpitations - tachycardia - nervousness - warm, dry skin - increased respirations

- palpitations - tachycardia - nervousness

Which instruction would the nurse provide to a 6'0", 160-pound client newly diagnosed with type 1 diabetes who wants to self-administer injection with an insulin pen? **Select all that apply - prime the needle with two units - use a 29 gauge insulin needle - give the injection at 45 degree angle - refrain from recapping the needle - dial the pen to deliver the unit dose

- prime the needle with two units - use a 29 gauge insulin needle - give the injection at 45 degree angle - refrain from recapping the needle - dial the pen to deliver the unit dose

In which order will the nurse perform the actions associated with insulin administration?

1. Wash hands with soap and water 2. Rotate the vial of insulin between the palms of the hands 3. Wipe the top of the insulin vial with an alcohol swab 4. Instill air into the vial of insulin equal to the desired dose 5. Withdraw the correct amount of insulin from the inverted vial

When will the nurse monitor for a potential hypoglycemic reaction after administering daily regular insulin to a client with type 1 diabetes at 8 AM? A. At breakfast B. Before lunch C. Before dinner D. In the early afternoon

B. Before lunch

Which explanation would the nurse share regarding the reversal of hypoglycemia after administering a tube of glucose gel to a client? A. It liberates glucose from hepatic stores of glycogen B. It provides a glucose source that is rapidly absorbed C. Insulin action is blocked as it competes for tissues sites D. Glycogen is supplied to the brain as well as other vital organs

B. It provides a glucose source that is rapidly absorbed

Which hormone would the nurse identify as inhibiting insulin and glucagon secretion? A. Amylin B. Somatostatin C. Triiodothyronine (T3) D. Pancreatic polypeptide

B. Somatostatin

When planning care for a client with type 1 diabetes, which change in insulin requirements would the nurse anticipate on the first postpartum day? A. Slow decrease B. Rapid increase C. Sudden decrease D. Gradual increase

C. Sudden decrease

Which statement made by a client prescribed metformin extended release to control type 2 diabetes mellitus indicates the need for further education? A. "I will take the medication with food" B. "I must swallow my medication whole and not crush or chew it C. "I will notify my doctor if I develop muscular or abdominal discomfort" D. "I will stop taking metformin for 24 hours before and after having a test involving dye"

D. "I will stop taking metformin for 24 hours before and after having a test involving dye"

The nurse is teaching a 10-year-old child with type 1 diabetes about insulin requirement. Which statement by the nurse correctly identifies when insulin needs decrease? A. 'Insulin needs often decrease when puberty is reached' B. 'When there is an infection present, the body requires less insulin' C. 'Emotional stress can cause insulin needs to decrease' D. 'Increased muscle activity such as exercise, cause insulin needs to decrease'

D. 'Increased muscle activity such as exercise, cause insulin needs to decrease'

The nurse teaches an adolescent with type 1 diabetes about peak action of NPH insulin and the risk for hypoglycemia. The nurse determines teaching has been effective when the adolescent identifies insulin peak action within which time frame? A. 1 to 2 hours B. 2 to 4 hours C. 5 to 10 hours D. 4 to 12 hours

D. 4 to 12 hours

The nurse is caring for a client with hypoglycemia. The nurse anticipates a prescription for which medications? **Select all that apply - insulin - glucagon - intravenous (IV) glucose - oral hydrocortisone - somatostatin

- glucagon - intravenous (IV) glucose - oral hydrocortisone

List the actions in order the nurse will perform when mixing a short-acting and an intermediate-acting insulin in the same syringe

1. put air into the intermediate-acting insulin vial 2. put air into the short-acting insulin vial 3. withdraw the prescribed amount of short-acting insulin 4. withdraw the prescribed amount of intermediate-acting insulin

Which insulin would the nurse conclude has the fastest onset of action? A. NPH insulin B. Insulin lispro C. Regular insulin D. Insulin glargine

B. Insulin lispro

Which condition would the nurse identify as the likely cause of profound weakness and nervousness in a client that became confused shortly after self-administering the morning dose of 10 units of regular insulin and 25 units of NPH insulin after a light breakfast with no additional intake in the 3 hours since that time? A. Hyperglycemia B. Hyperinsulinemia C. Hypoglycemia D. Hypoinsulinemia

C. Hypoglycemia

Why is 15g of a simple sugar administered when a client with diabetes experiences hypoglycemia? A. Inhibits glycogenesis B. Stimulates release of insulin C. Increases blood glucose levels D. Provides more storage of glucose

C. Increases blood glucose levels

Upon assessment, the nurse finds the client is experiencing weight gain as well as elevated lipid and blood glucose levels. Which medication on the client's prescription list is most likely to cause these metabolic side effects? **Select all that apply - Clozapine - Asenapine - Quetiapine - Olanzapine - Ziprasidone

- Clozapine - Olanzapine

Which finding would lead the nurse to recheck the blood glucose level of a diabetic client before administering a mealtime insulin dose? **Select all that apply - confusion - drowsiness - diaphoresis - nervousness - heart rate 110 beats/min

- confusion - drowsiness - diaphoresis - nervousness - heart rate 110 beats/min

The nurse is education the client newly diagnosed with type 2 diabetes on oral antidiabetic medications. Which instruction would the nurse include in the teaching plan? **Select all that apply - the client should obtain a finger-stick blood glucose reading before each meal - the client does not need to follow a specific diet until insulin is required - the teaching plan should include sign and symptoms of hypoglycemia - the teaching plan should include how to administer regular insulin - the teaching plan should include sick day rules

- the client should obtain a finger-stick blood glucose reading before each meal - the teaching plan should include sign and symptoms of hypoglycemia - the teaching plan should include sick day rules

Which initial intervention would the nurse expect the primary health care provider to order for a client admitted to the hospital with a diagnosis of diabetic ketoacidosis? A. Intravenous (IV) fluids B. Potassium C. NPH insulin (Novolin N) D. Sodium polystyrene sulfonate (Kayexalate)

A. Intravenous (IV) fluids

Which advice will the nurse give the client to avoid lipodystrophy when self-administering insulin therapy? A. Exercise regularly B. Rotate injection sites C. Use the Z-track technique D. Vigorously massage the injection site

B. Rotate injection sites

Which medication is responsible for neonatal hypoglycemia? A. Warfarin B. Simvastatin C. Tolbutamide D. Methimazole

C. Tolbutamide

Which rationale explains why intravenous (IV) potassium is prescribed in addition to regular insulin for clients in diabetic ketosis? A. Potassium loss occurs rapidly from diaphoresis present during coma B. Potassium is carried with glucose to the kidneys to be excreted in the urine in increased amounts C. Potassium is quickly used up during the rapid series of catabolic reactions stimulated by insulin and glucose D. Serum potassium levels will decrease as potassium ions shift from the extracellular fluid to the intracellular fluid compartment

D. Serum potassium levels will decrease as potassium ions shift from the extracellular fluid to the intracellular fluid compartment

How will the nurse respond to a client with a new diagnosis of type 1 diabetes who becomes agitated and says, "I am scared of shots. If that is my only option, I'll just have to go into a coma and die!" when told the lifelong insulin will be needed? A. "Injections are not the only option available for insulin" B. "It won't be so bad; you will get used to it if you will only try" C. "This is one of those times when you need to act like an adult" D. "Clients have the right to refuse treatment, but I need you to sign this form that removes us from liability for your decision"

A. "Injections are not the only option available for insulin"

A client with type 1 diabetes receives Humulin R insulin in the morning. Shortly before lunch the nurse identifies that the client is diaphoretic and trembling. Which intervention is appropriate? A. Administer insulin to the client B. Give the client lunch immediately C. Encourage the client to drink fluids D. Assess the client's blood glucose level

D. Assess the client's blood glucose level

A continuous insulin infusion is started on an adolescent with a blood glucose level of 700 mg/dL (38.9 mmol/L). Which complication would the nurse make a priority of detecting while the adolescent is receiving the infusion? A. Hypovolemia B. Hypokalemia C. Hypernatremia D. Hypercalcemia

B. Hypokalemia

Which statement will the nurse need to consider when developing the teaching plan for a client with type 2 diabetes prescribed an oral hypoglycemic medication? A. Oral hypoglycemics work by decreasing absorption of carbohydrates B. Oral hypoglycemics work by stimulating the pancreas to produce insulin C. Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control D. Serious adverse effects are not a problem for oral hypoglycemics

C. Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control

Which response will the nurse provide to a client with type 2 diabetes taking one glyburide tablet daily who asks whether an extra table should be taken before exercise? A. " You will need to decrease how much you are exercising" B. "An extra pill will help your body use glucose when exercising C. "The amount of medication you need to take is not related to exercising" D. "Do not take an extra pill because you may become hypoglycemic when exercising"

D. "Do not take an extra pill because you may become hypoglycemic when exercising"

Which instruction about medications would the nurse include when teaching a client with type 1 diabetes who tells the nurse, "I take guaifenesin cough syrup when I have a cold?" A. "Substitute an elixir for the cough syrup" B. "Increase fluid intake and use a humidifier to control the cough" C. "The small amounts of sugar in medications are not a concern with diabetes" D. "Include the glucose in the cough syrup when calculating daily carbohydrate allowance"

D. "Include the glucose in the cough syrup when calculating daily carbohydrate allowance"

Which instruction will the nurse provide to a client with type 2 diabetes who develops gout when teaching about the administration of allopurinol? A. "Allopurinol masks symptoms of hypoglycemia" B."Increase your oral hypoglycemic medications" C. "Increase attention to diabetic foot care" D. "Monitor blood glucose levels more frequently"

D. "Monitor blood glucose levels more frequently"

Which is an appropriate response to a 24-year-old client with type 1 diabetes who asks how her pregnancy will affect her diet and insulin needs? A. 'Insulin needs will decrease; the excess glucose will be used for fetal growth' B. 'Diet and insulin needs won't change, and maternal and fetal needs will be met' C. 'Protein needs will increase, and adjustments to insulin dosage will be necessary' D. 'Insulin dosage and dietary needs will be adjusted in accordance with the results of blood glucose monitoring'

D. 'Insulin dosage and dietary needs will be adjusted in accordance with the results of blood glucose monitoring'

A child is prescribed insulin glargine before breakfast. Which instruction is most appropriate for the nurse to give the parent regarding a bedtime snack? A. "Offer a snack to prevent hypoglycemia during the night" B. "Give the child a snack if signs of hyperglycemia are present" C. "Avoid a snack because the child is being treated with long-acting insulin" D. "Keep a snack at the bedside in case the child gets hungry during the night"

A. "Offer a snack to prevent hypoglycemia during the night"

The nurse is explaining insulin needs to a client with gestational diabetes who is in her second trimester of pregnancy. Which information would the nurse give to this client? A. Insulin needs will increase during the second trimester B. Insulin needs will decrease during the second trimester C. Insulin needs will not change during the second trimester D. Insulin will be switched to an oral antidiabetic medication during the second trimester

A. Insulin needs will increase during the second trimester

Which mechanism fo action explains how glyburide decreases serum glucose levels? A. Stimulates the pancreas to produce insulin B. Accelerates the liver's release of stored glycogen C. Increases glucose transport across the cell membrane D. Decreases absorption of glucose from the gastrointestinal system

A. Stimulates the pancreas to produce insulin

Which response would a nurse give to a client who asks "Why can't i take the insulin in pills instead of taking shots?" during a teaching session about insulin injections? A. "Insulin cannot be manufactured in pill form" B. "Insulin is destroyed by gastric juices, rendering it ineffective" C. "Your health care provider decides the route of administration" D. "Your health care provider will prescribe pills when you are ready"

B. "Insulin is destroyed by gastric juices, rendering it ineffective"

Which response would a nurse give to a client diagnosed with type 1 diabetes who states "I hate shots. Why can't I take the insulin in table form" A. "Your diabetic condition is too serious for oral insulin B. "Insulin is poorly absorbed orally, so it is not available in a tablet" C. "Insulin by mouth causes a high incidence of allergic and adverse reactions" D. "Once your diabetes is controlled, your primary health care provider might consider oral insulin"

B. "Insulin is poorly absorbed orally, so it is not available in a tablet"

Which type of insulin would the nurse recognize as compatible with IV solutions when caring for a client with diabetes mellitus who is scheduled to receive an intravenous (IV) administration of 25 units of insulin in 250mL normal saline? A. NPH insulin B. Insulin lispro C. Insulin detemir D. Insulin glargine

B. Insulin lispro

For which reason may insulin requirements of a client with type 1 diabetes decrease during the first trimester? A. Body metabolism is sluggish in the first trimester B. Morning sickness may result in decreased food intake C. Fetal requirements of glucose in this period or minimal D. Hormones of pregnancy increase the body's need for insulin

B. Morning sickness may result in decreased food intake

Which is the priority short-term goal when teaching a client with type 1 diabetes who is placed on an insulin pump to control the diabetes? A. "The client will adhere to the medical regimen" B. "The client will remain normoglycemic for 3 weeks" C. "The client will demonstrate correct use of the insulin pump" D. "The client will list three self-care activities that are necessary to control the diabetes"

C. "The client will demonstrate correct use of the insulin pump"

Which information would the nurse include when teaching a type 2 diabetic controlled with oral antidiabetic medications who is prescribed regular insulin when admitted for elective surgery? A. "You will need a higher serum glucose level while on bed rest" B. "The stress of surgery may cause hypoglycemia C. "With insulin, dosage can be adjusted to your changing needs during recovery from surgery" D. "The possibility of surgical complications is greater when a client takes oral hypoglycemics"

C. "With insulin, dosage can be adjusted to your changing needs during recovery from surgery"

Which period of time would a nurse recognize as the greatest risk of hypoglycemia when caring for a client who receives regular insulin daily at 8:00 AM? A. 8:30AM to 9:30AM B. 8:00PM to 12:00AM C. 1:00PM to 8:00PM D. 10:00AM to 1:00PM

D. 10:00AM to 1:00PM

Which angle would an obese client be taught to self-administer an insulin injection at? A. 30-degree angle B. 60-degree angle C. 45-degree angle D. 90-degree angle

D. 90-degree angle

A client with type 2 diabetes has been receiving insulin in the hospital while being treated for sepsis. The client's infection is resolving and the primary health care provider writes a prescription to discontinue the 7:00AM dose of insulin and to administer glyburide 5mg twice daily. After administering the glyburide ate 8:30AM, the nurse sees that the insulin had already been administered at 7:00AM. Which initial action would the nurse take? A. Measure the vital signs B. Notify the primary health care provider C. Administer 15g of fast acting carbohydrates D. Check blood glucose for hypoglycemia

D. Check blood glucose for hypoglycemia

A client experiences ineffective control of type 1 diabetes. The clients study results indicate that a sudden decrease in blood glucose level is followed by rebound hyperglycemia. When this event occurs, which action would the nurse take? A. Give the client 8oz (240mL) of orange juice B. Seek a prescription to increase the insulin dose at bedtime C. Encourage the client to eat smaller, more frequent meals D. Collaborate with the primary healthcare provider to alter the insulin prescription

D. Collaborate with the primary healthcare provider to alter the insulin prescription

Which condition would cause a nontender 5-cm indurated region on the upper arm of a client with type 1 diabetes who says to the nurse, "That is where I give myself insulin shots" A. Callus B. An allergy C. An infection D. Lipodystrophy

D. Lipodystrophy

Before having surgery, a client with type 1 diabetes insulin requirements are elevated but well controlled. Which insulin requirements would the nurse anticipate for this client postoperatively? A. Decrease B. Fluctuate C. Increase sharply D. Remain elevated

D. Remain elevated

The nurse is teaching a 12-year-old child about the action of insulin injections. Which statement indicates the child understands how insulin works in the body? A. 'Glucose is released as fats break down' B. 'It keeps glucose from being stored in the liver' C. 'Glucose is carried into cells where it is used for energy' D. 'It stops the wasting of blood glucose by converting it to glycogen'

C. 'Glucose is carried into cells where it is used for energy'

Which action would be taken by the nurse caring for a client with type 1 diabetes mellitus who has a finger-stick glucose level of 257 mg/dL (14.3 mmol/L) at bedtime and a prescription for sliding-scale regular insulin? A. Call the health care provider B. Encourage intake of fluids C. Administer the insulin as prescribed D. Give the client 4 ounces of orange juice

C. Administer the insulin as prescribed

When determining the main difference between type 1 and type 2 diabetes, the nurse recognizes which clinical presentation about type 1? A. Onset of the disease is slow B. Excessive weight is a contributing factor C. Complications are not present at the time of diagnosis D. Treatment involves diet, exercise, and oral medications

C. Complications are not present at the time of diagnosis

Which cellular process associated with type 1 diabetes mellitus results in increased client fatigue? A. Increased metabolism at the cellular level B. Increased glucose absorption from the intestine C. Decreased production of insulin by the pancreas D. Decreased glucose secretion into the renal tubules

C. Decreased production of insulin by the pancreas

Which short-term goal is the priority for a client with a new insulin pump who is receiving discharge instructions? A. Plan daily intake incorporating diabetic diet guidelines B. Demonstrate proper subcutaneous insulin injection technique C. Demonstrate correct use of the insulin pump D. List three self-care activities that help control the diabetes

C. Demonstrate correct use of the insulin pump

Which information is important for the nurse to include concerning insulin administration when discussing insulin needs with an adolescent with recently diagnosed type 1 diabetes? A. Insulin will be required throughout life B. Insulin may be taken orally until adulthood C. Insulin needs increase with strenuous exercise D. Insulin needs decrease in the presence of an infection

A. Insulin will be required throughout life

Between which weeks of gestation would a client with type 1 diabetes expect to increase her insulin dosage? A. 10th and 12th weeks of gestation B. 18th and 22nd weeks of gestation C. 24th and 28th weeks of gestation D. 36th and 40th weeks of gestation

C. 24th and 28th weeks of gestation

Which information will the nurse include when teaching a client with type 1 diabetes about the use of an insulin pump? A. Insulin pumps mimic the way a healthy pancreas works B. The insulin pump's needle should be changed every day C. Pumps are implanted in a subcutaneous pocket near the abdomen D. The insulin pump's advantage is that it only requires glucose monitoring once a day

A. Insulin pumps mimic the way a healthy pancreas works

Which insulin will the nurse prepare for the emergency treatment of ketoacidosis? A. Glargine B. NPH insulin C. Insulin aspart D. Insulin detemir

C. Insulin aspart

A child is receiving 45 units of intermediate-acting insulin at 7:00AM and 7:00PM. Which statement by the nurse is most appropriate when discussing bedtime snacks with the parent? A. "Offer a snack at bedtime if there are signs of hyperglycemia" B. "Provide a bedtime snack to prevent hypoglycemia during the night" C. "Withhold the snack after dinner to prevent hyperglycemia during sleep" D. "Leave a snack at the bedside in case the child becomes hungry during the night"

B. "Provide a bedtime snack to prevent hypoglycemia during the night"

Which information would the nurse provide to a client with type 1 diabetes who requests information about the differences between penlike insulin delivery devices and syringes? A. "The penlike devices have a shorter injection time" B. "Penlike devices provide a more accurate dose delivery" C. "The penlike delivery system uses a smaller-gauge needle" D. "Penlike devices cost less by having reusable insulin cartridges"

B. "Penlike devices provide a more accurate dose delivery"

An adolescent with diabetes had a 6:30 AM fasting blood glucose level of 180 mg/dL (10.0 mmol/L). Which nursing action is a priority? A. Encourage the adolescent to start exercising B. Ask the adolescent to obtain an immediate glucometer reading C. Inform the adolescent that a complex carbohydrate such as cheese should be eaten D. Tell the adolescent that the prescribed dose of rapid-acting insulin should be administered

D. Tell the adolescent that the prescribed dose of rapid-acting insulin should be administered

A mother asks the neonatal nurse why her infant must be monitored so closely for hypoglycemia when her type 1 diabetes was in excellent control during the entire pregnancy. How would the nurse best respond? A. 'A healthy newborn's glucose level drops after birth, so we're being especially cautious with your baby because of your diabetes' B. 'A newborn's pancreas produces an increased amount of insulin during the first day of birth, so we're checking to see whether hypoglycemia has occurred' C. 'Babies of mothers with diabetes do not have large stores of glucose at birth, so it's difficult for them to maintain the blood glucose level within an acceptable range' D. 'Babies of mothers with diabetes have a higher-than-average insulin level because of the excess glucose received from the mother during pregnancy, so the glucose level may drop'

D. 'Babies of mothers with diabetes have a higher-than-average insulin level because of the excess glucose received from the mother during pregnancy, so the glucose level may drop'