A nurse is preparing to administer insulin lispro (Humalog) to a client. Which action by the nurse indicates the need for further education about insulin administration?
Administering insulin lispro within 15 minutes of a meal
Using an insulin syringe to draw up the medication
Ensuring the insulin lispro vial is properly stored in the refrigerator
Injecting insulin lispro into the subcutaneous tissue
The Correct Answer is C
Insulin lispro should not be stored in the refrigerator; it can be kept at room temperature for up to 28 days once in use.
Incorrect choices:
a. Administering insulin lispro within 15 minutes of a meal matches its rapid onset of action, which helps control postprandial glucose levels.
b. Using an insulin syringe to draw up insulin lispro is an appropriate technique for accurate dosing.
d. Injecting insulin lispro into the subcutaneous tissue is the correct route of administration for this rapid-acting insulin.
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Related Questions
Correct Answer is C
Explanation
Subcutaneously. Insulin is typically administered through subcutaneous injections, allowing it to be absorbed into the bloodstream from fatty tissue under the skin.
Incorrect choices:
a. Insulin is a protein and would be broken down in the digestive system if taken orally.
b. Intravenous administration is not commonly used for insulin therapy due to the rapid onset of action and risk of hypoglycemia.
d. Intramuscular administration is not common for insulin therapy because absorption may be unpredictable and could lead to variability in blood glucose control.
Correct Answer is A
Explanation
Continue with the regular insulin regimen as usual. It is important for the client to maintain blood glucose control even on the day of surgery. The nurse should advise the client to follow the regular insulin regimen unless otherwise instructed by the healthcare provider.
Incorrect choices:
b. Skipping insulin doses can lead to hyperglycemia and unstable blood glucose levels, especially during fasting.
c. Decreasing the insulin dose without appropriate guidance can result in poor blood glucose control.
d. Stopping insulin therapy abruptly can lead to hyperglycemia and potential complications. Insulin adjustments should be made under healthcare provider supervision.
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