A client is transitioning from an insulin pump to multiple daily injections. Which of the following statements about mealtime insulin dosing is accurate?
Mealtime insulin is administered as a single daily injection.
Mealtime insulin is typically a long-acting insulin.
Mealtime insulin doses are adjusted based on blood glucose levels and carbohydrate intake.
Mealtime insulin is only necessary for the evening meal.
The Correct Answer is C
Mealtime insulin is rapid-acting or short-acting insulin administered before or after meals to control postprandial glucose levels.
Incorrect choices:
a. Mealtime insulin is usually administered multiple times a day, not as a single daily injection.
b. Mealtime insulin is not typically a long-acting insulin; it is rapid-acting or short-acting insulin.
d. Mealtime insulin is administered before or after each meal, not only for the evening meal.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Store insulin vials at room temperature away from direct sunlight. Refrigeration is generally not necessary for most insulin types when in use, and freezing or exposure to high temperatures can damage insulin.
Incorrect choices:
a. Freezing insulin can alter its efficacy and should be avoided.
c. Insulin stored in the refrigerator should not be warmed before injection, as this can lead to temperature-related degradation.
d. Storing insulin in a hot environment can lead to degradation and loss of effectiveness.
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