A client with diabetes is prescribed a basal-bolus insulin regimen. The nurse teaches the client about this regimen. Which statement by the client indicates a need for further education?
"I'll take a long-acting insulin in the morning and evening."
"I'll use rapid-acting insulin before each meal."
"I should avoid snacking between meals to prevent low blood sugar."
"I'll rotate injection sites within the same area to prevent skin changes."
The Correct Answer is C
With a basal-bolus insulin regimen, clients are often encouraged to have snacks between meals to help prevent hypoglycemia caused by rapid-acting insulin. Snacking helps maintain more stable blood sugar levels.
Incorrect choices:
a. Taking a long-acting insulin in the morning and evening is consistent with a basal-bolus regimen. This statement is correct.
b. Using rapid-acting insulin before each meal is consistent with a basal-bolus regimen. This statement is correct.
d. Rotating injection sites within the same area is a recommended practice to prevent skin changes and complications associated with repeated injections. This statement is correct.
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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 B
Explanation
Store insulin vials at room temperature away from direct sunlight. Refrigeration is generally not necessary for most insulin types when in use, and freezing or exposure to high temperatures can damage insulin.
Incorrect choices:
a. Freezing insulin can alter its efficacy and should be avoided.
c. Insulin stored in the refrigerator should not be warmed before injection, as this can lead to temperature-related degradation.
d. Storing insulin in a hot environment can lead to degradation and loss of effectiveness.
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