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 A
Explanation
Continue with the regular insulin regimen as usual. It is important for the client to maintain blood glucose control even on the day of surgery. The nurse should advise the client to follow the regular insulin regimen unless otherwise instructed by the healthcare provider.
Incorrect choices:
b. Skipping insulin doses can lead to hyperglycemia and unstable blood glucose levels, especially during fasting.
c. Decreasing the insulin dose without appropriate guidance can result in poor blood glucose control.
d. Stopping insulin therapy abruptly can lead to hyperglycemia and potential complications. Insulin adjustments should be made under healthcare provider supervision.
Correct Answer is B
Explanation
The abdomen is a common site for insulin injection in children due to its larger subcutaneous tissue area and ease of access.
Incorrect choices:
a. The upper arm is not typically recommended for insulin injection due to limited subcutaneous tissue and potential discomfort.
c. The thigh is also a suitable site for insulin injection, but the abdomen is often preferred in children.
d. The buttock is not commonly used for insulin injection due to difficulties in self-administration and limited visibility.
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