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."

Answer and Explanation

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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Correct Answer is D

Explanation

Offering a source of fast-acting carbohydrates. Fast-acting carbohydrates, such as glucose tablets or juice, can quickly raise blood sugar levels and alleviate hypoglycemic symptoms.

Incorrect choices:

a. Administering a long-acting insulin injection would not address the immediate need to raise blood sugar levels during an episode of hypoglycemia.

b. Providing a high-fat snack would not rapidly increase blood sugar levels and alleviate symptoms of hypoglycemia.

c. Giving a rapid-acting insulin injection would further lower blood sugar levels and worsen hypoglycemia symptoms.

A. Increase the client's insulin dose to prevent high blood glucose levels. B. Advise the client to consume more carbohydrates to prevent hypoglycemia. C. Collaborate with the healthcare provider to adjust the insulin regimen. D. Instruct the client to skip meals to avoid excessive insulin doses.

Correct Answer is C

Explanation

Frequent hypoglycemic episodes indicate the need for a possible adjustment in insulin therapy. The nurse should work with the healthcare provider to modify the insulin regimen to better match the client's needs.

Incorrect choices:

a. Increasing the insulin dose without healthcare provider guidance may lead to further hypoglycemia and potential harm.

b. Consuming more carbohydrates may provide temporary relief from hypoglycemia but does not address the underlying insulin dosing issue.

d. Skipping meals can lead to unstable blood glucose levels and is not a recommended approach to managing insulin therapy.

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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?

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Naxlex Comprehensive Predictor Exams

A client with diabetes is experiencing symptoms of hypoglycemia, including sweating, shakiness, and confusion. Which action by the nurse is appropriate for hypoglycemia management?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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