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 C

Explanation

A. "Levothyroxine will decrease your metabolic rate and body temperature.": Levothyroxine increases the metabolic rate and body temperature by correcting hypothyroidism. This statement is incorrect.

B. "Take levothyroxine at dinner time daily.": Levothyroxine is best taken on an empty stomach in the morning to optimize absorption.

C. "Tremors, nervousness, and insomnia can indicate that your dose is too high.": These symptoms are consistent with hyperthyroidism, which can result from excessive levothyroxine dosage.

D. "Take this medication until manifestations of hypothyroidism are gone and then discontinue.": Levothyroxine is usually a lifelong therapy and should not be stopped without provider guidance.

A. Fasting blood glucose155 mg/dL (70-105) B. Casual blood glucose 178 mg/dL (less than 200) C. HbA1c 5.2% (49%-69%) D. 2-hr blood glucose 132mg/dL (less than to 200)

Correct Answer is A

Explanation

A. Fasting blood glucose 155 mg/dL (70-105): A fasting blood glucose of 155 mg/dL exceeds the threshold for diabetes risk (≥126 mg/dL). This result strongly indicates impaired glucose regulation or diabetes mellitus.

B. Casual blood glucose 178 mg/dL (less than 200): Casual glucose <200 mg/dL does not meet the diagnostic criteria for diabetes or prediabetes, as casual glucose ≥200 mg/dL is diagnostic of diabetes in symptomatic individuals.

C. HbA1c 5.2% (49%-69%): HbA1c levels ≥5.7% indicate prediabetes, and ≥6.5% is diagnostic of diabetes. This value is within the normal range.

D. 2-hr blood glucose 132 mg/dL (less than 200): A 2-hour glucose level after an oral glucose tolerance test (OGTT) of 140-199 mg/dL indicates prediabetes, and ≥200 mg/dL confirms diabetes. This value does not indicate risk.

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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 nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?

Correct Answer is C

Explanation

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Correct Answer is A

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