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

"I'll use an alcohol swab to clean the injection site before giving myself insulin."

"I'll inject the insulin into my muscle to make sure it works faster."

"I can use an insulin pen to accurately measure and administer my insulin doses."

"I'll make sure to rotate my injection sites to different areas."

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is B

Explanation

Pinch the skin and insert the needle at a 45-degree angle. This technique helps ensure proper subcutaneous injection and absorption of insulin.

Incorrect choices:

a. Inserting the needle at a 90-degree angle may result in intramuscular injection, leading to rapid absorption and potential hypoglycemia.

c. Inserting the needle at a 30-degree angle may result in shallow injection and inadequate insulin absorption.

d. Pressing the needle against the skin and releasing quickly may result in the medication leaking out of the injection site.

A. Administer rapid-acting insulin after meals to control postprandial glucose levels. B. Increase the client's basal insulin dose to address fasting hyperglycemia. C. Advise the client to skip meals to prevent further elevations in blood glucose. D. Decrease the client's insulin doses to avoid hypoglycemia.

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the recommended technique for insulin injection?

Correct Answer is B

Explanation

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

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 learning about managing hypoglycemia. Which statement by the client indicates a need for further education?

A nurse is educating a client on self-monitoring blood glucose (SMBG) levels. Which statement by the client indicates a need for further education?

A client with diabetes is experiencing hypoglycemia and is conscious. The nurse provides the client with a glucose gel tube. What should the nurse instruct the client to do next?

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

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?