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 C

Explanation

Frequent hypoglycemic episodes indicate the need for a possible adjustment in insulin therapy. The nurse should work with the healthcare provider to modify the insulin regimen to better match the client's needs.

Incorrect choices:

a. Increasing the insulin dose without healthcare provider guidance may lead to further hypoglycemia and potential harm.

b. Consuming more carbohydrates may provide temporary relief from hypoglycemia but does not address the underlying insulin dosing issue.

d. Skipping meals can lead to unstable blood glucose levels and is not a recommended approach to managing insulin therapy.

A. "For every 1 unit of insulin, you should consume 10 grams of carbohydrates." B. "You should inject 10 units of insulin for every 1 gram of carbohydrates you consume." C. "You should consume 10 units of insulin for every 1 unit of carbohydrates." D. "Inject 1 unit of insulin for every 10 grams of carbohydrates you eat."

Correct Answer is A

Explanation

An insulin-to-carbohydrate ratio (ICR) of 1:10 means that for every 1 unit of insulin, the client should consume 10 grams of carbohydrates to help manage postprandial glucose levels.

Incorrect choices:

b. Injecting 10 units of insulin for every 1 gram of carbohydrates would result in excessive insulin dosing and potential hypoglycemia.

c. Consuming 10 units of insulin for every 1 unit of carbohydrates would lead to excessive insulin administration and hypoglycemia.

d. Injecting 1 unit of insulin for every 10 grams of carbohydrates would result in insufficient insulin dosing and potentially high blood glucose levels.

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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

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Correct Answer is C

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Correct Answer is A

Explanation

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