A nurse is caring for a client on the medical surgical unit. Read each of the exhibits from the client’s chart.  Exhibit 1Nurses NotesToday, 0700: Client is admitted 10 days ago for abdominal pain. Diagnosed with bowel obstruction; open partial colectomy performed 2 days ago. History of type 1 diabetes mellitus.Alert and oriented x4. Bilateral breath sounds clear to auscultation; apical pulse 76, pedal pulses +2 bilaterally; bowel sounds hypoactive via auscultation x 4 quadrants; complains of pain at surgical site- rates 4/10; 20- gauge IV left forearm noted with no redness or edema, patent. Diabetic, full liquid diet.  Today, 1600:Reports nausea Today, 1615:Administered ondansetron per orders-refer to MAR Today, 1930:Client found diaphoretic, unconscious, and not responding to verbal or physical stimuli. Bedside blood glucose performed.  Exhibit 2Provider Prescription3 days ago: Glargine insulin 20 units subcutaneous once a day.Lispro insulin 8 units subcutaneous three times a day.Ondansetron 4mg IV bolus every 8 hours PRN nausea and vomiting. Exhibit 3Laboratory ResultsToday, 0700:Blood glucose 210 mg/dL Today, 1130:Blood glucose 236mg/dL Today, 1700:Blood glucose 202 mg/dL  Today, 1930:Blood glucose 48 mg/dL  Exhibit 4Medication Administration RecordToday, 0730:Glargine insulin 20 units subcutaneousToday, 0735:Lispro insulin 8 units subcutaneousToday, 1200:Lispro insulin 8 units subcutaneousToday, 1615:Ondansetron 4 mg IV bolus PRN nausea and vomitingToday, 1715:Lispro insulin 8 units subcutaneous Which of the following interventions are a priority for the nurse to make? Select all that apply. 

A client is diagnosed with hyperthyroidism. Which food selection should the nurse instruct the client to avoid?

A client has a blood glucose level of 563 mg/dL. Which type of insulin should the nurse anticipate providing to the client through the intravenous route?

A client taking sulfonylureas for type 2 diabetes reports nausea, flushing, and palpitations. Which question should the nurse ask the client?

A client is prescribed to receive 10 units of lispro (Humalog). At which time should the nurse give the client the injection?

The nurse reviews the laboratory values for a client with type 1 diabetes. Which laboratory test in addition to glucose should the nurse monitor in the client?

A client is brought to the emergency department with severe hypoglycemia. What drug would the nurse prepare to administer intravenously?

A client with type 1 diabetes mellitus asks why insulin is not available in pill form. Which response should the nurse make to the client?

A client has consistently elevated blood glucose in the morning. Which information should the nurse explain to the client about the dawn phenomenon?

A nurse is caring for a client who takes repaglinide 15 to 30 minutes before each meal to treat type 2 diabetes mellitus.  The client asks, “If I skip a meal, what should I do?” Which of the following responses should the nurse make?