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
With a basal-bolus insulin regimen, clients are often encouraged to have snacks between meals to help prevent hypoglycemia caused by rapid-acting insulin. Snacking helps maintain more stable blood sugar levels.
Incorrect choices:
a. Taking a long-acting insulin in the morning and evening is consistent with a basal-bolus regimen. This statement is correct.
b. Using rapid-acting insulin before each meal is consistent with a basal-bolus regimen. This statement is correct.
d. Rotating injection sites within the same area is a recommended practice to prevent skin changes and complications associated with repeated injections. This statement is correct.
Correct Answer is D
Explanation
Offering a source of fast-acting carbohydrates. Fast-acting carbohydrates, such as glucose tablets or juice, can quickly raise blood sugar levels and alleviate hypoglycemic symptoms.
Incorrect choices:
a. Administering a long-acting insulin injection would not address the immediate need to raise blood sugar levels during an episode of hypoglycemia.
b. Providing a high-fat snack would not rapidly increase blood sugar levels and alleviate symptoms of hypoglycemia.
c. Giving a rapid-acting insulin injection would further lower blood sugar levels and worsen hypoglycemia symptoms.
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