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

Fasting hyperglycemia suggests insufficient basal insulin coverage. Adjusting the basal insulin dose can help stabilize fasting blood glucose levels.

Incorrect choices:

a. Administering rapid-acting insulin after meals targets postprandial glucose levels, not fasting hyperglycemia.

c. Skipping meals is not a recommended approach and may lead to further blood glucose imbalances.

d. Decreasing insulin doses may worsen hyperglycemia and is not appropriate without healthcare provider guidance.

A. Administering insulin lispro within 15 minutes of a meal B. Using an insulin syringe to draw up the medication C. Ensuring the insulin lispro vial is properly stored in the refrigerator D. Injecting insulin lispro into the subcutaneous tissue

Correct Answer is C

Explanation

Insulin lispro should not be stored in the refrigerator; it can be kept at room temperature for up to 28 days once in use.

Incorrect choices:

a. Administering insulin lispro within 15 minutes of a meal matches its rapid onset of action, which helps control postprandial glucose levels.

b. Using an insulin syringe to draw up insulin lispro is an appropriate technique for accurate dosing.

d. Injecting insulin lispro into the subcutaneous tissue is the correct route of administration for this rapid-acting insulin.

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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

A client on insulin therapy has been consistently experiencing elevated fasting blood glucose levels. What should the nurse do to monitor and adjust the client's insulin regimen?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

Which insulin administration route has the slowest onset of action?

A client with diabetes is asking about storing insulin. Which statement by the client indicates a need for further education about insulin storage and handling?

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

A nurse is educating a client on self-monitoring blood glucose (SMBG) levels. Which statement by the client indicates a need for further education?

What is the purpose of insulin therapy in diabetes management?

A client is transitioning from an insulin pump to multiple daily injections. Which of the following statements about mealtime insulin dosing is accurate?

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