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?

"You will need to adjust your insulin dose based on how you feel each day."

"Your healthcare provider will prescribe a specific insulin dose that you should follow."

"It's best to start with a high dose of insulin and gradually decrease it over time."

"You can determine your insulin dose by checking your blood sugar level before and after each meal."

Answer and Explanation

The Correct Answer is B

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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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.

A. Rapid-acting insulin B. Short-acting insulin C. Intermediate-acting insulin D. Long-acting insulin

Correct Answer is A

Explanation

Rapid-acting insulin is used to control post-meal blood glucose elevations and can be taken to cover meals and snacks.

Incorrect choices:

b. Short-acting insulin can also cover meals and snacks, but it may not be as rapid-acting as the name suggests.

c. Intermediate-acting insulin provides coverage beyond mealtime and is not specifically designed for mealtime glucose control.

d. Long-acting insulin provides a steady baseline and is not intended for mealtime coverage.

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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?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

Which type of insulin can be used to cover meals and snacks?

Correct Answer is A

Explanation

A client with diabetes is scheduled for surgery and will be fasting before the procedure. How should the nurse instruct the client about monitoring and adjusting insulin therapy on the day of surgery?

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?

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 on insulin therapy is planning to engage in increased physical activity. How should the nurse advise the client about monitoring and adjusting insulin therapy?

A client is prescribed both long-acting and short-acting insulin. Which statement by the client demonstrates an understanding of insulin administration?

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 newly diagnosed with type 2 diabetes is prescribed insulin therapy. The client asks the nurse, "Why do I need insulin if I have type 2 diabetes?" Which response by the nurse is accurate?

A client is prescribed insulin therapy and is experiencing hypoglycemia. The nurse prepares to administer glucagon. How should the nurse explain the dosing of glucagon?