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

The injection should be done on the anterolateral or posterolateral abdominal wall. This is because there is adequate distribution of subcutaneous tissue in this region preventing injection into the muscle.

C-The skin should be pinched to ensure that the injection is delivered into the subcutaneous tissue

A-Massaging the area may cause irritation

B-The bubble should not be expelled

A. Ask another nurse to check the medication dosage prior to administration. B. Verify a written order with the medication administration record. C. Use two client identifiers prior to administering the medication. D. Document the full name of the prescribed medication after administration.

Correct Answer is C

Explanation

A- Confirming with another nurse ensures right dosage is not necessary. Dosage should be confrimed with the prescription and proper calculation

B-Verification with the administration record ensures that the prescribed medication is the one given. This is important as it ensures that the client receives the right medications for the illness. However, it is not part of the rights of medication administration

C-Use of 2 identifiers ensures right client which is part of the rights of medication administration

D-Documenting full names is important for record-keeping but not part of the rights of medication administration

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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?

Nursing Test Bank

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