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 C
Explanation
Insulin lispro should not be stored in the refrigerator; it can be kept at room temperature for up to 28 days once in use.
Incorrect choices:
a. Administering insulin lispro within 15 minutes of a meal matches its rapid onset of action, which helps control postprandial glucose levels.
b. Using an insulin syringe to draw up insulin lispro is an appropriate technique for accurate dosing.
d. Injecting insulin lispro into the subcutaneous tissue is the correct route of administration for this rapid-acting insulin.
Correct Answer is D
Explanation
Basal insulin is typically administered once or twice daily to mimic the body's basal insulin secretion and maintain stable blood glucose levels between meals and overnight.
Incorrect choices:
a. Basal insulin is not administered before meals; it is intended to regulate fasting glucose levels.
b. Basal insulin does not cover carbohydrates consumed in meals; it targets basal glucose levels.
c. Rapid-acting insulin is not synonymous with basal insulin; they serve different purposes in insulin therapy.
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