A client on insulin therapy has been consistently experiencing elevated fasting blood glucose levels. What should the nurse do to monitor and adjust the client's insulin regimen?

Administer rapid-acting insulin after meals to control postprandial glucose levels.

Increase the client's basal insulin dose to address fasting hyperglycemia.

Advise the client to skip meals to prevent further elevations in blood glucose.

Decrease the client's insulin doses to avoid hypoglycemia.

Answer and Explanation

The Correct Answer is B

Fasting hyperglycemia suggests insufficient basal insulin coverage. Adjusting the basal insulin dose can help stabilize fasting blood glucose levels.

Incorrect choices:

a. Administering rapid-acting insulin after meals targets postprandial glucose levels, not fasting hyperglycemia.

c. Skipping meals is not a recommended approach and may lead to further blood glucose imbalances.

d. Decreasing insulin doses may worsen hyperglycemia and is not appropriate without healthcare provider guidance.

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Correct Answer is B

Explanation

Insulin therapy for type 1 diabetes is individualized and based on factors such as the client's weight, activity level, blood sugar levels, and overall health. The healthcare provider will determine the appropriate insulin dose for the client.

Incorrect choices:

a. Adjusting insulin dose based on how one feels is not a safe or accurate method. Insulin dosing should be guided by healthcare provider recommendations.

c. Starting with a high dose of insulin is not advisable and can lead to hypoglycemia. Insulin dosing should be started conservatively and adjusted as needed.

d. While monitoring blood sugar levels before and after meals is important for diabetes management, it is not the sole method for determining insulin dosing. Healthcare provider guidance is essential.

A. "Store your insulin vials in the freezer to keep them cool." B. "Keep your insulin vials in a cooler bag with ice packs when outdoors." C. "Store your insulin vials in direct sunlight to prevent bacterial growth." D. "Insulin can be left in a parked car as long as the windows are cracked open."

Correct Answer is B

Explanation

Storing insulin in a cooler bag with ice packs can help maintain its temperature and effectiveness during hot weather.

Incorrect choices:

a. Storing insulin in the freezer is not recommended, as it can alter the medication's properties and impact its efficacy.

c. Storing insulin in direct sunlight can expose it to extreme temperatures and affect its potency.

d. Leaving insulin in a parked car, even with cracked windows, exposes it to temperature fluctuations and extreme heat, which can impact its effectiveness.

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A client on insulin therapy has been consistently experiencing elevated fasting blood glucose levels. What should the nurse do to monitor and adjust the client's insulin regimen?

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Naxlex Comprehensive Predictor Exams

A client with type 1 diabetes is starting insulin therapy. The client asks the nurse, "How do I know what dose of insulin to take?" What is the nurse's best response?

Correct Answer is B

Explanation

A client is worried about maintaining the effectiveness of insulin during hot summer months. What guidance should the nurse provide to the client regarding insulin storage and handling in warm weather?

Correct Answer is B

Explanation

Which type of insulin can be used to cover meals and snacks?

A client is receiving insulin therapy for diabetes management. The nurse is providing education about the importance of proper injection techniques. Which statement by the client indicates a need for further education?

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

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

A client with diabetes is prescribed both basal and prandial insulin. The nurse is teaching the client about the difference between these two types of insulin. Which statement by the client indicates a need for further education?

A client newly diagnosed with type 2 diabetes is prescribed insulin therapy. The client asks the nurse, "Why do I need insulin if I have type 2 diabetes?" Which response by the nurse is accurate?

A client with diabetes is experiencing hypoglycemia and is conscious. Which intervention should the nurse implement for hypoglycemia management?

What is the recommended technique for insulin injection?