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 A

Explanation

Insulin therapy is a critical component of treatment for individuals with type 1 diabetes, as their pancreas does not produce insulin.

Incorrect choices:

b. Type 2 diabetes may initially be managed with oral medications, diet, and exercise, and insulin therapy might be added later if other treatments are not effective.

c. Gestational diabetes usually involves dietary changes and monitoring blood glucose levels. Insulin therapy may be necessary in some cases, but it is not typically the first-line treatment.

d. Pre-diabetes indicates higher-than-normal blood glucose levels, but insulin therapy is not usually required at this stage.

A. "You will need to adjust your insulin dose based on how you feel each day." B. "Your healthcare provider will prescribe a specific insulin dose that you should follow." C. "It's best to start with a high dose of insulin and gradually decrease it over time." D. "You can determine your insulin dose by checking your blood sugar level before and after each meal."

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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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 type of diabetes typically requires insulin therapy?

Correct Answer is A

Explanation

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?

Correct Answer is B

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 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 diabetes is prescribed insulin glargine (Lantus) once daily. Which statement by the client indicates a need for further education about insulin administration?

Which type of insulin is also known as "basal insulin"?

A client with diabetes is learning about managing hypoglycemia. Which statement by the client indicates a need for further education?

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?

What is the purpose of insulin therapy in diabetes management?

Which type of insulin has the fastest onset of action?