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 B

Explanation

Subcutaneous injection has a slower onset of action compared to IV infusion and is the most common route for insulin administration.

Incorrect choices:

a. IM injection is not a common route for insulin administration and has a slower onset than subcutaneous injection.

c. IV infusion provides a rapid onset of action, making it inappropriate for routine insulin administration.

d. Inhalation is not a typical route for insulin administration. It is used for specific types of medications, not insulin.

A. "Insulin therapy is only needed for type 1 diabetes." B. "Insulin will cure your diabetes and regulate your blood sugar levels." C. "Type 2 diabetes can progress over time, leading to decreased insulin production or effectiveness." D. "Insulin therapy is used temporarily until oral medications start working."

Correct Answer is C

Explanation

In type 2 diabetes, the body's cells may become resistant to the effects of insulin, and the pancreas may produce less insulin over time. This can result in the need for insulin therapy to help manage blood sugar levels effectively.

Incorrect choices:

a. This statement is incorrect. While insulin therapy is commonly associated with type 1 diabetes, it can also be used in type 2 diabetes when other treatments are not sufficient.

b. Insulin therapy does not cure diabetes. It helps manage blood sugar levels and prevents complications, but it does not eliminate the underlying condition.

d. Insulin therapy may be used temporarily, but it can also be a long-term treatment option for type 2 diabetes, especially if other treatments are not effective.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which insulin administration route has the slowest onset of action?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

What is the primary purpose of insulin therapy?

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?

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 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?

Which type of insulin is commonly used in insulin pumps?

A client is concerned about traveling with insulin and asks the nurse if there are any specific storage recommendations. Which information should the nurse provide regarding insulin storage during travel?

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?

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?