A nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching?

"I should inject by insulin detemir 30 min before a meal to lower my blood sugar."

"If my blood sugar is high. I can mix a dose of regular insulin with my insulin detemir."

"I can inject my insulin detemir in the evening before bedtime."

"I don't have to worry about hypoglycemia while taking insulin detemir."

Answer and Explanation

The Correct Answer is C

A. "I should inject my insulin detemir 30 min before a meal to lower my blood sugar.": Insulin detemir is a long-acting insulin that provides basal glucose control and is not meal-dependent.

B. "If my blood sugar is high, I can mix a dose of regular insulin with my insulin detemir.": Insulin detemir should not be mixed with any other insulin in the same syringe.

C. "I can inject my insulin detemir in the evening before bedtime.": Insulin detemir is commonly administered once daily, and evening administration helps maintain stable glucose levels overnight.

D. "I don't have to worry about hypoglycemia while taking insulin detemir.": While the risk of hypoglycemia is lower with detemir than with some other insulins, it is still possible, particularly if meals are missed or doses are mismanaged.

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Correct Answer is ["A","C","E","F"]

Explanation

A. Buffalo hump (fat pads on the upper back): Fat redistribution is a classic sign of Cushing's syndrome.

B. Obese extremities: Cushing's syndrome typically presents with truncal obesity, not obesity of the extremities.

C. Purple or dark striations on the skin: These are caused by skin thinning and stretching due to increased cortisol levels.

D. Tremors: Tremors are not commonly associated with Cushing's syndrome.

E. Truncal obesity: Central obesity is a hallmark of Cushing's syndrome.

F. Round moon-shaped face: This is another characteristic sign of fat redistribution in Cushing's syndrome.

A. Serum potassium 4.8 mEq/L (3.5 to 5.0 mEq/L) B. Serum sodium 138 mEq/L (136 to 145 mEq/L) C. Calcium level of 10.0 mg/dL (9.0 to 10.5 mg/dL) D. Serum glucose 58 mg/dL (74 to 106 mg/dL)

Correct Answer is D

Explanation

A. Serum potassium 4.8 mEq/L (3.5 to 5.0 mEq/L): A normal potassium level suggests effective treatment of hyperkalemia.

B. Serum sodium 138 mEq/L (136 to 145 mEq/L): This is within the normal sodium range and unrelated to the adverse effects of insulin therapy.

C. Calcium level of 10.0 mg/dL (9.0 to 10.5 mg/dL): This is within the normal calcium range, unaffected by insulin therapy for hyperkalemia.

D. Serum glucose 58 mg/dL (74 to 106 mg/dL): Hypoglycemia is a potential adverse effect of insulin therapy because insulin drives glucose into cells, lowering blood sugar.

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A nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that Apply) (Select All that Apply.)

Correct Answer is ["A","C","E","F"]

Explanation

A nurse is caring for a client who has a hyperkalemia and is receiving insulin therapy. Which of the following should the nurse recognize as an adverse outcome?

Correct Answer is D

Explanation

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