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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Related Questions
Correct Answer is C
Explanation
Encouraging the client to consume a high-protein snack. Consuming a high-protein snack along with a source of fast-acting carbohydrates helps stabilize blood sugar levels and prevent further hypoglycemia.
Incorrect choices:
a. Administering glucagon injection is indicated for severe hypoglycemia when the client is unconscious or unable to swallow.
b. Starting an IV glucose infusion is reserved for severe hypoglycemia cases that are unresponsive to other interventions or when the client is unable to tolerate oral intake.
d. Monitoring blood sugar levels every 4 hours is a routine practice but does not address the immediate need to treat hypoglycemia.
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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