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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Injecting insulin into the same spot every day can lead to skin changes, scar tissue formation, and poor insulin absorption. Rotating injection sites is important to prevent complications.
Incorrect choices:
b. Using a 90-degree angle when inserting the needle is a common technique for insulin injections. This statement is correct.
c. Avoiding scar tissue and areas with visible blood vessels is important to ensure proper insulin absorption. This statement is correct.
d. Pinching the skin before inserting the needle can help ensure subcutaneous injection and prevent injecting into muscle. This statement is correct.
Correct Answer is D
Explanation
Basal insulin is typically administered once or twice daily to mimic the body's basal insulin secretion and maintain stable blood glucose levels between meals and overnight.
Incorrect choices:
a. Basal insulin is not administered before meals; it is intended to regulate fasting glucose levels.
b. Basal insulin does not cover carbohydrates consumed in meals; it targets basal glucose levels.
c. Rapid-acting insulin is not synonymous with basal insulin; they serve different purposes in insulin therapy.
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