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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Glucagon is administered as an injection, usually subcutaneously or intramuscularly, to rapidly raise blood glucose levels during severe hypoglycemia.
Incorrect choices:
a. Glucagon is administered differently from insulin injections and is intended for emergency use during severe hypoglycemia.
b. Glucagon is not available in oral tablet form due to its protein nature, which would be broken down in the digestive system.
d. Glucagon is not typically administered intravenously but rather through subcutaneous or intramuscular injection for rapid action.
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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