Pain Management Nursing Practice Exam

What action should a nurse take for a client with type 1 diabetes refusing insulin but requesting pain medication?

1. Notify the charge nurse and make arrangements to transfer to intensive care.

2. Explain the significance of BG and insulin, then call the health care provider.

3. Withhold the pain medication until she agrees to accept the insulin.

4. Give her the pain medication and document her refusal of the insulin.

The correct answer is: Notify the charge nurse and make arrangements to transfer to intensive care.

The most suitable action for a nurse in this scenario is to explain the significance of blood glucose (BG) levels and insulin, then call the healthcare provider. This approach addresses the immediate health concerns associated with the refusal of insulin in a client with type 1 diabetes, as uncontrolled blood glucose can lead to serious complications, including diabetic ketoacidosis. When a client with type 1 diabetes refuses insulin, it’s critical for the nurse to educate the client about the potential consequences of high blood sugar levels and the role of insulin in maintaining metabolic stability. Effective communication helps the client make informed decisions about their care. Following that, contacting the healthcare provider is necessary as they may need to reassess the treatment plan, investigate reasons for the refusal, and consider other interventions or alternatives, which may be essential for the client’s health and safety. Addressing the refusal of insulin is vital before making decisions about pain management, as uncontrolled diabetes can complicate treatment with medications. This option provides a balanced approach to patient education and safety while ensuring that the healthcare team remains informed about the client’s condition.