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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Insulin should be injected into the subcutaneous tissue, not the muscle.
Incorrect choices:
a. Cleaning the injection site with an alcohol swab before injection is a recommended practice to prevent infection.
c. Insulin pens are a convenient and accurate way to measure and administer insulin doses.
d. Rotating injection sites helps prevent lipohypertrophy and ensures consistent absorption.
Correct Answer is A
Explanation
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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