A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?

The client will administer insulin glargine before each meal.

The client will use the deltoid muscle as an injection site.

The client will take an additional dose of insulin glargine prior to exercise.

The client will wear his reading glasses when drawing up a dose of insulin glargine.

Answer and Explanation

The Correct Answer is D

Use of glasses in visual problems in the elderly avoid errors such as overdose. The use of insulin requires accurate visualization because overdosing the medication may lower the blood sugar levels too low leading to severe neuroglycopenic features or even death.

A- Long acting insulins like glargine are used as a basal insulin given once a day

B- The subcutaneous tissue is preferred

C- Insulin glargine is not added before exercise

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Correct Answer is D

Explanation

Fluid deficit causes the loss of the plasma component of blood. The levels of blood cells remain constant despite the loss of plasma resulting in hemoconcentration. Hemoconcentration is observed as an elevated hematocrit level on a full blood count test.

A,B,C- features of fluid overload

A. Remove the medication from the medication dispensing cabinet. B. Identify the client using two identifiers. C. Compare the amount of medication available to the inventory record. D. Document the administration of the medication.

Correct Answer is B

Explanation

Ensures the right client is receiving the medication to avoid medication errors. Two identifiers ensures that two clients with a thing in common can be told apart to avoid administering medications into the wrong individual.

A,C,D- Are important steps but not related to client safety which is priority

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A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?

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Naxlex Comprehensive Predictor Exams

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