A client with diabetes is prescribed both basal and prandial insulin. The nurse is teaching the client about the difference between these two types of insulin. Which statement by the client indicates a need for further education?

"Basal insulin provides a steady amount of insulin throughout the day."

"Prandial insulin helps control the rise in blood sugar after meals."

"I'll take my basal insulin before each meal."

"Prandial insulin is also called rapid-acting insulin."

Answer and Explanation

The Correct Answer is C

Basal insulin is typically taken once or twice a day to provide a steady baseline level of insulin, while prandial (mealtime) insulin is taken before meals to control post-meal blood sugar spikes.

Incorrect choices:

a. Basal insulin indeed provides a steady amount of insulin to cover the body's basic metabolic needs between meals and overnight. This statement is correct.

b. Prandial insulin does help control the rise in blood sugar after meals. This statement is correct.

d. Prandial insulin is indeed a type of rapid-acting insulin used to cover meals and control post-meal blood sugar levels. This statement is correct.

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Correct Answer is B

Explanation

Short-acting insulin is administered before meals to cover postprandial glucose spikes, while long-acting insulin is typically administered once daily, often at bedtime.

Incorrect choices:

a. Administering short-acting insulin in the morning and long-acting insulin at bedtime does not coincide with the timing needed to control glucose levels effectively.

c. Short-acting and long-acting insulins should not be mixed in the same syringe to maintain their proper dosing and actions.

d. Administering long-acting insulin right after a meal would not match the onset and duration of action needed for glucose control.

A. Draw up the rapid-acting insulin first. B. Draw up the intermediate-acting insulin first. C. It doesn't matter which insulin is drawn up first. D. Draw up the regular insulin first.

Correct Answer is A

Explanation

Drawing up rapid-acting insulin before intermediate-acting insulin prevents contamination of the rapid-acting insulin vial with the longer-acting insulin.

Incorrect choices:

b. Drawing up intermediate-acting insulin first can contaminate the vial with rapid-acting insulin, potentially altering dosing accuracy.

c. The order in which insulin is drawn up does matter to prevent contamination.

d. Regular insulin is not commonly used for injection in routine insulin therapy.

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A client with diabetes is prescribed both basal and prandial insulin. The nurse is teaching the client about the difference between these two types of insulin. Which statement by the client indicates a need for further education?

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Naxlex Comprehensive Predictor Exams

A client is prescribed both long-acting and short-acting insulin. Which statement by the client demonstrates an understanding of insulin administration?

Correct Answer is B

Explanation

When drawing up insulin from two different vials (e.g., rapid-acting and intermediate-acting insulin), which type of insulin should be drawn up first?

Correct Answer is A

Explanation

A client is worried about maintaining the effectiveness of insulin during hot summer months. What guidance should the nurse provide to the client regarding insulin storage and handling in warm weather?

A client with type 1 diabetes is experiencing variability in blood glucose levels throughout the day. What should the nurse teach the client about monitoring and adjusting insulin therapy?

A client with type 2 diabetes is learning about self-administration of insulin. Which statement by the client indicates a need for further education?

What is the primary purpose of insulin therapy?

What is the recommended technique for insulin injection?

Which site is commonly used for insulin injection in children?

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

Which insulin administration route has the slowest onset of action?