مريض بارتفاع البوتاسيوم أُعطي إنسولين قصير المفعول مع جلوكوز وريدي. ما المراقبة الأهم بعدها؟

A client with hyperkalaemia receives short-acting insulin with IV glucose. What is the most important monitoring afterwards?

1. Temperature for fever caused by the glucose infusion
2. Urine colour and specific gravity every hour after the dose
3. Grip strength for paralysis caused by the insulin
4. Blood glucose for hypoglycaemia over the following hours

Answer: D) Blood glucose for hypoglycaemia over the following hours. Insulin shifts potassium into cells but can cause hypoglycaemia, especially in kidney disease. Glucose is checked regularly for hours afterwards.