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 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.
Correct Answer is D
Explanation
Offering a source of fast-acting carbohydrates. Fast-acting carbohydrates, such as glucose tablets or juice, can quickly raise blood sugar levels and alleviate hypoglycemic symptoms.
Incorrect choices:
a. Administering a long-acting insulin injection would not address the immediate need to raise blood sugar levels during an episode of hypoglycemia.
b. Providing a high-fat snack would not rapidly increase blood sugar levels and alleviate symptoms of hypoglycemia.
c. Giving a rapid-acting insulin injection would further lower blood sugar levels and worsen hypoglycemia symptoms.
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