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?

Increase the client's insulin dose to prevent high blood glucose levels.

Advise the client to consume more carbohydrates to prevent hypoglycemia.

Collaborate with the healthcare provider to adjust the insulin regimen.

Instruct the client to skip meals to avoid excessive insulin doses.

Answer and Explanation

The Correct Answer is C

Frequent hypoglycemic episodes indicate the need for a possible adjustment in insulin therapy. The nurse should work with the healthcare provider to modify the insulin regimen to better match the client's needs.

Incorrect choices:

a. Increasing the insulin dose without healthcare provider guidance may lead to further hypoglycemia and potential harm.

b. Consuming more carbohydrates may provide temporary relief from hypoglycemia but does not address the underlying insulin dosing issue.

d. Skipping meals can lead to unstable blood glucose levels and is not a recommended approach to managing insulin therapy.

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Correct Answer is B

Explanation

Insulin syringes should not be reused due to the risk of contamination, infection, and inaccurate dosing.

Incorrect choices:

a. Drawing up short-acting insulin before long-acting insulin is a recommended practice to prevent contamination of the long-acting insulin vial.

c. Rotating injection sites within the same anatomical area helps prevent lipohypertrophy and ensures consistent absorption.

d. Insulin vials should be kept refrigerated to maintain their potency, but they can be kept at room temperature for up to 28 days once in use to prevent discomfort from cold injections.

A. "I'll keep my insulin pen in the glove compartment of my car." B. "I should store my insulin pen in an insulated cooler bag when traveling." C. "I'll keep my insulin pen at room temperature, away from direct sunlight." D. "I'll place my insulin pen in the freezer to prevent bacterial growth."

Correct Answer is C

Explanation

Insulin pens should be stored at room temperature and protected from direct sunlight. Extreme temperatures can affect insulin's effectiveness.

Incorrect choices:

a. Storing insulin pens in the glove compartment of a car exposes them to temperature fluctuations and extreme heat, which can impact their potency.

b. While an insulated cooler bag can help protect insulin during travel, insulin pens should not be stored in extreme cold.

d. Placing insulin pens in the freezer is not recommended as it can alter the medication's properties and affect its effectiveness.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with diabetes about insulin therapy. Which statement by the client indicates a need for further education?

Correct Answer is B

Explanation

A nurse is teaching a client about storing insulin pens. Which statement by the client indicates a correct understanding of insulin pen storage and handling?

Correct Answer is C

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?

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?

A client is receiving multiple daily injections of insulin. Which technique by the client indicates a need for further education?

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

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?

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?

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?

A client with diabetes is prescribed a basal-bolus insulin regimen. The nurse teaches the client about this regimen. Which statement by the client indicates a need for further education?