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. Mealtime insulin is administered as a single daily injection. B. Mealtime insulin is typically a long-acting insulin. C. Mealtime insulin doses are adjusted based on blood glucose levels and carbohydrate intake. D. Mealtime insulin is only necessary for the evening meal.

Correct Answer is C

Explanation

Mealtime insulin is rapid-acting or short-acting insulin administered before or after meals to control postprandial glucose levels.

Incorrect choices:

a. Mealtime insulin is usually administered multiple times a day, not as a single daily injection.

b. Mealtime insulin is not typically a long-acting insulin; it is rapid-acting or short-acting insulin.

d. Mealtime insulin is administered before or after each meal, not only for the evening meal.

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

Correct Answer is C

Explanation

Which type of diabetes typically requires insulin therapy?

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?

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?

What is the primary purpose of insulin therapy?

A client with type 2 diabetes is learning about self-administration of insulin. Which statement by the client indicates a need for further education?

Which type of insulin is commonly used in insulin pumps?

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?

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?