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.

Answer and Explanation

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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Correct Answer is C

Explanation

Increased physical activity can affect blood glucose levels, and the client should monitor levels more frequently and adjust insulin doses to maintain glucose control.

Incorrect choices:

a. Decreasing insulin doses without proper monitoring can lead to hypoglycemia during or after physical activity.

b. Skipping insulin doses can result in elevated blood glucose levels and is not recommended.

d. Administering extra insulin doses without monitoring blood glucose levels can lead to unpredictable outcomes and potential harm.

A. Continue with the regular insulin regimen as usual. B. Skip insulin doses on the day of surgery to avoid hypoglycemia. C. Decrease the insulin dose by half on the day of surgery. D. Stop insulin therapy completely on the day of surgery.

Correct Answer is A

Explanation

Continue with the regular insulin regimen as usual. It is important for the client to maintain blood glucose control even on the day of surgery. The nurse should advise the client to follow the regular insulin regimen unless otherwise instructed by the healthcare provider.

Incorrect choices:

b. Skipping insulin doses can lead to hyperglycemia and unstable blood glucose levels, especially during fasting.

c. Decreasing the insulin dose without appropriate guidance can result in poor blood glucose control.

d. Stopping insulin therapy abruptly can lead to hyperglycemia and potential complications. Insulin adjustments should be made under healthcare provider supervision.

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A client is transitioning from an insulin pump to multiple daily injections. Which of the following statements about mealtime insulin dosing is accurate?

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Naxlex Comprehensive Predictor Exams

A client on insulin therapy is planning to engage in increased physical activity. How should the nurse advise the client about monitoring and adjusting insulin therapy?

Correct Answer is C

Explanation

A client with diabetes is scheduled for surgery and will be fasting before the procedure. How should the nurse instruct the client about monitoring and adjusting insulin therapy on the day of surgery?

Correct Answer is A

Explanation

A nurse is providing education to a client newly diagnosed with type 1 diabetes who will be starting insulin therapy. Which statement by the client indicates a need for further education?

A nurse is teaching a client about self-administering insulin. The client asks, "Where is the best site to inject insulin?" Which response is correct?

Which type of insulin has the fastest onset of action?

Which type of diabetes typically requires insulin therapy?

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

Which type of insulin is cloudy in appearance?

Which type of insulin is commonly used in insulin pumps?

How should insulin vials be stored?