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?
Decrease the insulin dose before physical activity to prevent hypoglycemia.
Skip insulin doses on days of increased physical activity.
Monitor blood glucose levels more frequently and adjust insulin doses as needed.
Administer extra insulin doses before physical activity to cover increased glucose needs.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Insulin syringes should not be reused due to the risk of contamination, infection, and inaccurate dosing.
Incorrect choices:
a. Drawing up short-acting insulin before long-acting insulin is a recommended practice to prevent contamination of the long-acting insulin vial.
c. Rotating injection sites within the same anatomical area helps prevent lipohypertrophy and ensures consistent absorption.
d. Insulin vials should be kept refrigerated to maintain their potency, but they can be kept at room temperature for up to 28 days once in use to prevent discomfort from cold injections.
Correct Answer is B
Explanation
The abdomen is a common site for insulin injection in children due to its larger subcutaneous tissue area and ease of access.
Incorrect choices:
a. The upper arm is not typically recommended for insulin injection due to limited subcutaneous tissue and potential discomfort.
c. The thigh is also a suitable site for insulin injection, but the abdomen is often preferred in children.
d. The buttock is not commonly used for insulin injection due to difficulties in self-administration and limited visibility.
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