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 A

Explanation

Swallow the gel and drink a glass of water. Glucose gel is designed to be swallowed, and consuming a source of carbohydrates along with water will help rapidly raise blood sugar levels.

Incorrect choices:

b. Applying the gel topically to the skin will not effectively raise blood sugar levels and alleviate hypoglycemic symptoms.

c. Massaging the gel into the site of injection is not appropriate, as glucose gel is meant to be swallowed.

d. Rubbing the gel between the palms and inhaling deeply will not have a significant impact on blood sugar levels.

A. Rapid-acting insulin B. Short-acting insulin C. Intermediate-acting insulin D. Long-acting insulin

Correct Answer is C

Explanation

Intermediate-acting insulin appears cloudy due to its composition and requires proper mixing before administration.

Incorrect choices:

a. Rapid-acting insulin is clear in appearance.

b. Short-acting insulin is clear in appearance.

d. Long-acting insulin is clear in appearance.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with diabetes is experiencing hypoglycemia and is conscious. The nurse provides the client with a glucose gel tube. What should the nurse instruct the client to do next?

Correct Answer is A

Explanation

Which type of insulin is cloudy in appearance?

Correct Answer is C

Explanation

How is insulin administered?

How should insulin vials be stored?

A client with diabetes is scheduled for surgery and will be fasting before the procedure. How should the nurse instruct the client about monitoring and adjusting insulin therapy on the day of surgery?

A nurse is teaching a client about self-administering insulin. The client asks, "Where is the best site to inject insulin?" Which response is correct?

What is the purpose of insulin therapy in diabetes management?

Which insulin administration route has the slowest onset of action?

A nurse is preparing to administer insulin lispro (Humalog) to a client. Which action by the nurse indicates the need for further education about insulin administration?

A client on insulin therapy has been consistently experiencing elevated fasting blood glucose levels. What should the nurse do to monitor and adjust the client's insulin regimen?