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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Insulin should be injected into the subcutaneous tissue, not the muscle.
Incorrect choices:
a. Cleaning the injection site with an alcohol swab before injection is a recommended practice to prevent infection.
c. Insulin pens are a convenient and accurate way to measure and administer insulin doses.
d. Rotating injection sites helps prevent lipohypertrophy and ensures consistent absorption.
Correct Answer is B
Explanation
Insulin therapy for type 1 diabetes is individualized and based on factors such as the client's weight, activity level, blood sugar levels, and overall health. The healthcare provider will determine the appropriate insulin dose for the client.
Incorrect choices:
a. Adjusting insulin dose based on how one feels is not a safe or accurate method. Insulin dosing should be guided by healthcare provider recommendations.
c. Starting with a high dose of insulin is not advisable and can lead to hypoglycemia. Insulin dosing should be started conservatively and adjusted as needed.
d. While monitoring blood sugar levels before and after meals is important for diabetes management, it is not the sole method for determining insulin dosing. Healthcare provider guidance is essential.
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