Prevent Hypoglycemia in Children with Diabetes: Strategies for Nurses

A child receives a combination of regular and NPH insulin at 8:00 AM. At 8:45 AM the breakfast trays have not yet arrived from the kitchen. What is the best action by the nurse?

Give the patient a snack of graham crackers and milk.

The best action by the nurse would be to closely monitor the child’s blood glucose levels and make sure they have access to a snack if their levels begin to drop. It is important for the child to eat breakfast in a timely manner after receiving insulin to prevent hypoglycemia. The nurse could offer the child a snack such as a piece of fruit, crackers, or a granola bar to help maintain their blood sugar until breakfast is served. The nurse should also inform the kitchen staff of the situation and request that the breakfast trays be delivered as soon as possible. In addition, the nurse should document the situation and actions taken in the child’s medical record.

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