A client with type 1 diabetes is prescribed an insulin-to-carbohydrate ratio (ICR) of 1:10. How should the nurse explain this dosing to the client?

"For every 1 unit of insulin, you should consume 10 grams of carbohydrates."

"You should inject 10 units of insulin for every 1 gram of carbohydrates you consume."

"You should consume 10 units of insulin for every 1 unit of carbohydrates."

"Inject 1 unit of insulin for every 10 grams of carbohydrates you eat."

Answer and Explanation

The Correct Answer is A

An insulin-to-carbohydrate ratio (ICR) of 1:10 means that for every 1 unit of insulin, the client should consume 10 grams of carbohydrates to help manage postprandial glucose levels.

Incorrect choices:

b. Injecting 10 units of insulin for every 1 gram of carbohydrates would result in excessive insulin dosing and potential hypoglycemia.

c. Consuming 10 units of insulin for every 1 unit of carbohydrates would lead to excessive insulin administration and hypoglycemia.

d. Injecting 1 unit of insulin for every 10 grams of carbohydrates would result in insufficient insulin dosing and potentially high blood glucose levels.

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Correct Answer is B

Explanation

Subcutaneous injection has a slower onset of action compared to IV infusion and is the most common route for insulin administration.

Incorrect choices:

a. IM injection is not a common route for insulin administration and has a slower onset than subcutaneous injection.

c. IV infusion provides a rapid onset of action, making it inappropriate for routine insulin administration.

d. Inhalation is not a typical route for insulin administration. It is used for specific types of medications, not insulin.

A. "You can leave your insulin vials on the dashboard of your car during the trip." B. "It's best to store your insulin in the overhead compartment of the airplane." C. "Keep your insulin at room temperature during the trip, and avoid extreme temperatures." D. "Freeze your insulin before the trip to prevent bacterial growth."

Correct Answer is C

Explanation

Insulin should be stored at room temperature and protected from extreme temperatures during travel to maintain its effectiveness.

Incorrect choices:

a. Leaving insulin vials on the car dashboard exposes them to heat and temperature fluctuations, which can impact their potency.

b. Storing insulin in the overhead compartment of an airplane may subject it to extreme cold or heat, affecting its effectiveness.

d. Freezing insulin is not recommended, as it can alter the medication's properties and impact its efficacy.

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A client with type 1 diabetes is prescribed an insulin-to-carbohydrate ratio (ICR) of 1:10. How should the nurse explain this dosing to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which insulin administration route has the slowest onset of action?

Correct Answer is B

Explanation

A client with diabetes is going on a vacation and asks the nurse about storing insulin while traveling. Which response by the nurse is accurate regarding insulin storage and handling during travel?

Correct Answer is C

Explanation

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?

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 diabetes is experiencing hypoglycemia and is conscious. Which intervention should the nurse implement for hypoglycemia management?

A nurse is teaching a client with diabetes about hypoglycemia management. Which statement by the client indicates a need for further education?

A nurse is providing education to a client newly diagnosed with type 1 diabetes who will be starting insulin therapy. Which statement by the client indicates a need for further education?

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 with type 2 diabetes is prescribed insulin therapy. Which of the following statements is correct regarding basal insulin dosing?

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?