A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self- administer insulin?

Ask the client to describe the process in detail.

Observe the client drawing up and administering the insulin.

Provide a health education session reviewing the main points of insulin delivery.

Review the client's first hemoglobin A1c result after discharge.

Answer and Explanation

The Correct Answer is B

A. Verbal explanation shows understanding but does not confirm the client can perform the skill correctly.
B. Direct observation allows the nurse to accurately assess the client’s technique, identify any errors, and provide immediate feedback — making it the most effective method.
C. Education is important but does not evaluate the client's skill performance.
D. Hemoglobin A1c reflects long-term glucose control and cannot assess immediate insulin administration competency, especially prior to discharge.

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Correct Answer is A

Explanation

A. Most insulin vials can be stored at room temperature for up to 28–30 days after opening. This avoids discomfort from cold injections and maintains insulin potency within the safe-use period.
B. Although safe, 21 days is shorter than necessary and may cause patients to discard insulin too early.
C. Two weeks is too conservative and does not reflect standard insulin stability.
D. One week significantly underestimates the insulin’s usability and could result in premature disposal of viable medication.

A. Proteinuria and hyperkalemia B. Hemorrhage and hypercalcemia C. Weight loss and hypoglycemia D. Malabsorption and hyperglycemia

Correct Answer is D

Explanation

A. Proteinuria and hyperkalemia are not commonly associated with pancreatic surgery.
B. Hemorrhage may be an acute post-op complication, but hypercalcemia is not typically related to pancreatic surgery.
C. Weight loss and hypoglycemia may occur, but they are often secondary to broader problems such as malabsorption or endocrine dysfunction.
D. Malabsorption can occur due to reduced pancreatic enzyme production after surgery, leading to nutrient deficiencies. Hyperglycemia is also common, as insulin production may be impaired if pancreatic tissue is removed, increasing the risk for diabetes mellitus.

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A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self- administer insulin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a class on how to self-manage insulin regimens. A client asks how long a vial of insulin can be stored at room temperature before it "goes bad." What would be the nurse's best answer?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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