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 B
Explanation
Insulin pens should not be exposed to extreme temperatures, including heat, as it can affect their potency.
Incorrect choices:
a. Storing insulin vials in the refrigerator helps maintain their potency, but they can be kept at room temperature for up to 28 days once in use.
c. Checking the expiration date on insulin vials is important to ensure their effectiveness and safety.
d. Gently rolling the insulin vial between palms helps mix the insulin if it appears cloudy, but it should not be done with clear insulin.
Correct Answer is A
Explanation
An insulin-to-carbohydrate ratio (ICR) of 1:10 means that for every 1 unit of insulin, the client should consume 10 grams of carbohydrates to help manage postprandial glucose levels.
Incorrect choices:
b. Injecting 10 units of insulin for every 1 gram of carbohydrates would result in excessive insulin dosing and potential hypoglycemia.
c. Consuming 10 units of insulin for every 1 unit of carbohydrates would lead to excessive insulin administration and hypoglycemia.
d. Injecting 1 unit of insulin for every 10 grams of carbohydrates would result in insufficient insulin dosing and potentially high blood glucose levels.
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