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 D
Explanation
The correct answer is d. To replace or supplement insulin in the body. Insulin therapy aims to provide the body with the insulin it needs when the natural production is insufficient.
Incorrect choices:
a. Insulin therapy does not stimulate the pancreas to produce more insulin; it directly provides insulin from an external source.
b. Insulin therapy does not target insulin resistance in muscle cells but provides the missing insulin.
c. Insulin therapy does not aim to increase glucose production by the liver; instead, it helps regulate glucose utilization and storage.
Correct Answer is C
Explanation
Those with type 1 diabetes and some with type 2 diabetes. Individuals with type 1 diabetes require insulin therapy, and some individuals with type 2 diabetes may need insulin if other treatments are not effective.
Incorrect choices:
a. Individuals with normal blood glucose levels do not require insulin therapy.
b. Allergies to insulin are extremely rare, and insulin therapy can still be considered after careful evaluation.
d. Insulin therapy may be considered for gestational diabetes if blood glucose levels are not well-controlled with diet and exercise, but it is not the first-line treatment.
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