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

Answer and Explanation

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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Correct Answer is B

Explanation

Insulin therapy for type 1 diabetes is individualized and based on factors such as the client's weight, activity level, blood sugar levels, and overall health. The healthcare provider will determine the appropriate insulin dose for the client.

Incorrect choices:

a. Adjusting insulin dose based on how one feels is not a safe or accurate method. Insulin dosing should be guided by healthcare provider recommendations.

c. Starting with a high dose of insulin is not advisable and can lead to hypoglycemia. Insulin dosing should be started conservatively and adjusted as needed.

d. While monitoring blood sugar levels before and after meals is important for diabetes management, it is not the sole method for determining insulin dosing. Healthcare provider guidance is essential.

A. Draw up the rapid-acting insulin first. B. Draw up the intermediate-acting insulin first. C. It doesn't matter which insulin is drawn up first. D. Draw up the regular insulin first.

Correct Answer is A

Explanation

Drawing up rapid-acting insulin before intermediate-acting insulin prevents contamination of the rapid-acting insulin vial with the longer-acting insulin.

Incorrect choices:

b. Drawing up intermediate-acting insulin first can contaminate the vial with rapid-acting insulin, potentially altering dosing accuracy.

c. The order in which insulin is drawn up does matter to prevent contamination.

d. Regular insulin is not commonly used for injection in routine insulin therapy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with type 1 diabetes is starting insulin therapy. The client asks the nurse, "How do I know what dose of insulin to take?" What is the nurse's best response?

Correct Answer is B

Explanation

When drawing up insulin from two different vials (e.g., rapid-acting and intermediate-acting insulin), which type of insulin should be drawn up first?

Correct Answer is A

Explanation

A nurse is providing education to a client newly diagnosed with type 1 diabetes who will be starting insulin therapy. Which statement by the client indicates a need for further education?

A client with diabetes is prescribed insulin glargine (Lantus) once daily. Which statement by the client indicates a need for further education about insulin administration?

A nurse is teaching a client about insulin storage and handling. Which statement by the client indicates a need for further education?

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A client with diabetes is learning about managing hypoglycemia. Which statement by the client indicates a need for further education?

What is the primary purpose of insulin therapy?

A client is receiving multiple daily injections of insulin. Which technique by the client indicates a need for further education?

What is the purpose of insulin therapy in diabetes management?