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 C

Explanation

Monitoring blood glucose levels regularly and adjusting insulin doses based on patterns and carbohydrate intake helps maintain stable blood glucose levels.

Incorrect choices:

a. Administering the same insulin dose regardless of carbohydrate content can lead to inconsistent blood glucose control.

b. Monitoring blood glucose levels only once daily does not provide enough information for effective insulin dosing adjustments.

d. The described approach involves using insulin types inappropriately for their intended purposes.

A. Continue with the regular insulin regimen as usual. B. Skip insulin doses on the day of surgery to avoid hypoglycemia. C. Decrease the insulin dose by half on the day of surgery. D. Stop insulin therapy completely on the day of surgery.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

A client with type 2 diabetes has been on insulin therapy for several months. The client reports frequent episodes of hypoglycemia. Which action by the nurse is appropriate for monitoring and adjusting insulin therapy?

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

A client with type 1 diabetes is starting insulin therapy. The client asks the nurse, "How do I know what dose of insulin to take?" What is the nurse's best response?

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?

Which type of insulin can be used to cover meals and snacks?

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 nurse is teaching a client about storing insulin pens. Which statement by the client indicates a correct understanding of insulin pen storage and handling?

Which site is commonly used for insulin injection in children?