A nurse is teaching a client about insulin storage and handling. Which statement by the client indicates a need for further education?
"I will store my insulin vials in the refrigerator."
"I can keep my insulin pens in my car as long as it's not too hot outside."
"I'll check the expiration date on my insulin vials before use."
"I should gently roll the insulin vial between my palms before using it."
The Correct Answer is B
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.
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Naxlex Comprehensive Predictor Exams
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 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.
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