Ben injects his insulin as prescribed, but then gets busy and forgets to eat. What will the best assessment of the nurse reveal?
A. The client will be very thirsty.
B. The client will complain of nausea.
C. The client will need to urinate.
D. The client will have moist clammy skin.
Correct Answer: D. The client will have moist clammy skin.
Moist skin is the sign of hypoglycemia, which the client would experience if he injected himself with insulin and did not eat. “Insulin shock” is a common term for low blood sugar, or hypoglycemia. It may also be called an insulin reaction.
Option A: Excessive thirst may be a symptom of high blood sugar (hyperglycemia). It’s important to be able to recognize any imbalance in thirst or urine production. It’s the function of the kidneys and other organs to help filter out impurities.
Option B: As the blood glucose levels rise and fall, the body’s metabolism can get interrupted and confused which can lead to a mixed feeling of nausea.
Option C: Polyuria due to a glucose-induced osmotic diuresis is common in patients with hyperglycemia. This diuresis usually abates when the plasma glucose level approaches its renal threshold; the usual time course is less than 8 hours after commencing therapy.
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