A client is prescribed both long-acting and short-acting insulin. Which statement by the client demonstrates an understanding of insulin administration?

"I should administer the short-acting insulin in the morning and the long-acting insulin at bedtime."

"I'll inject the short-acting insulin before my meals and the long-acting insulin before bedtime."

"I'll mix the short-acting insulin with the long-acting insulin in the same syringe."

"I'll administer the long-acting insulin right after I eat a meal."

Answer and Explanation

The Correct Answer is B

Short-acting insulin is administered before meals to cover postprandial glucose spikes, while long-acting insulin is typically administered once daily, often at bedtime.

Incorrect choices:

a. Administering short-acting insulin in the morning and long-acting insulin at bedtime does not coincide with the timing needed to control glucose levels effectively.

c. Short-acting and long-acting insulins should not be mixed in the same syringe to maintain their proper dosing and actions.

d. Administering long-acting insulin right after a meal would not match the onset and duration of action needed for glucose control.

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Correct Answer is B

Explanation

Insulin syringes should not be reused due to the risk of contamination, infection, and inaccurate dosing.

Incorrect choices:

a. Drawing up short-acting insulin before long-acting insulin is a recommended practice to prevent contamination of the long-acting insulin vial.

c. Rotating injection sites within the same anatomical area helps prevent lipohypertrophy and ensures consistent absorption.

d. Insulin vials should be kept refrigerated to maintain their potency, but they can be kept at room temperature for up to 28 days once in use to prevent discomfort from cold injections.

A. Draw up the rapid-acting insulin first. B. Draw up the intermediate-acting insulin first. C. It doesn't matter which insulin is drawn up first. D. Draw up the regular insulin first.

Correct Answer is A

Explanation

Drawing up rapid-acting insulin before intermediate-acting insulin prevents contamination of the rapid-acting insulin vial with the longer-acting insulin.

Incorrect choices:

b. Drawing up intermediate-acting insulin first can contaminate the vial with rapid-acting insulin, potentially altering dosing accuracy.

c. The order in which insulin is drawn up does matter to prevent contamination.

d. Regular insulin is not commonly used for injection in routine insulin therapy.

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A client is prescribed both long-acting and short-acting insulin. Which statement by the client demonstrates an understanding of insulin administration?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with diabetes about insulin therapy. Which statement by the client indicates a need for further education?

Correct Answer is B

Explanation

When drawing up insulin from two different vials (e.g., rapid-acting and intermediate-acting insulin), which type of insulin should be drawn up first?

Correct Answer is A

Explanation

A client is prescribed both long-acting and short-acting insulin. Which statement by the client demonstrates an understanding of insulin administration?

A client on insulin therapy has been consistently experiencing elevated fasting blood glucose levels. What should the nurse do to monitor and adjust the client's insulin regimen?

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A nurse is teaching a client about storing insulin pens. Which statement by the client indicates a correct understanding of insulin pen storage and handling?

Which type of insulin is commonly used in insulin pumps?

A client with diabetes is experiencing hypoglycemia and is conscious. The nurse provides the client with a glucose gel tube. What should the nurse instruct the client to do next?

Which type of insulin can be used to cover meals and snacks?

How should insulin vials be stored?