A nurse is teaching a client with diabetes about insulin therapy. Which statement by the client indicates a need for further education?
"I should always draw up the short-acting insulin first before the long-acting insulin."
"I can reuse my insulin syringe for up to a week."
"I need to rotate my injection sites within the same anatomical area for each dose."
"It's important to keep my insulin vials refrigerated at all times."
The Correct Answer is B
Insulin syringes should not be reused due to the risk of contamination, infection, and inaccurate dosing.
Incorrect choices:
a. Drawing up short-acting insulin before long-acting insulin is a recommended practice to prevent contamination of the long-acting insulin vial.
c. Rotating injection sites within the same anatomical area helps prevent lipohypertrophy and ensures consistent absorption.
d. Insulin vials should be kept refrigerated to maintain their potency, but they can be kept at room temperature for up to 28 days once in use to prevent discomfort from cold injections.
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Related Questions
Correct Answer is C
Explanation
Glucagon is administered in cases of severe hypoglycemia to rapidly raise blood sugar levels in an unconscious client.
Incorrect choices:
a. Administering an oral glucose solution is not appropriate for an unconscious client who cannot swallow.
b. Initiating an insulin infusion would further lower blood sugar levels and worsen the hypoglycemic state.
d. Encouraging the client to consume a high-protein meal is not feasible for an unconscious client.
Correct Answer is D
Explanation
The correct answer is d. To replace or supplement insulin in the body. Insulin therapy aims to provide the body with the insulin it needs when the natural production is insufficient.
Incorrect choices:
a. Insulin therapy does not stimulate the pancreas to produce more insulin; it directly provides insulin from an external source.
b. Insulin therapy does not target insulin resistance in muscle cells but provides the missing insulin.
c. Insulin therapy does not aim to increase glucose production by the liver; instead, it helps regulate glucose utilization and storage.
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