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."

Answer and Explanation

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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Correct Answer is A

Explanation

Insulin therapy is a critical component of treatment for individuals with type 1 diabetes, as their pancreas does not produce insulin.

Incorrect choices:

b. Type 2 diabetes may initially be managed with oral medications, diet, and exercise, and insulin therapy might be added later if other treatments are not effective.

c. Gestational diabetes usually involves dietary changes and monitoring blood glucose levels. Insulin therapy may be necessary in some cases, but it is not typically the first-line treatment.

d. Pre-diabetes indicates higher-than-normal blood glucose levels, but insulin therapy is not usually required at this stage.

A. Administering glucagon injection B. Starting an intravenous (IV) glucose infusion C. Encouraging the client to consume a high-protein snack D. Monitoring blood sugar levels every 4 hours

Correct Answer is C

Explanation

Encouraging the client to consume a high-protein snack. Consuming a high-protein snack along with a source of fast-acting carbohydrates helps stabilize blood sugar levels and prevent further hypoglycemia.

Incorrect choices:

a. Administering glucagon injection is indicated for severe hypoglycemia when the client is unconscious or unable to swallow.

b. Starting an IV glucose infusion is reserved for severe hypoglycemia cases that are unresponsive to other interventions or when the client is unable to tolerate oral intake.

d. Monitoring blood sugar levels every 4 hours is a routine practice but does not address the immediate need to treat hypoglycemia.

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A nurse is teaching a client with diabetes about insulin therapy. Which statement by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which type of diabetes typically requires insulin therapy?

Correct Answer is A

Explanation

A client with diabetes is experiencing hypoglycemia and is conscious. Which intervention should the nurse implement for hypoglycemia management?

Correct Answer is C

Explanation

When drawing up insulin from two different vials (e.g., rapid-acting and intermediate-acting insulin), which type of insulin should be drawn up first?

A client with diabetes is asking about storing insulin. Which statement by the client indicates a need for further education about insulin storage and handling?

A client with diabetes is learning about managing hypoglycemia. Which statement by the client indicates a need for further education?

A client with diabetes is unconscious and experiencing severe hypoglycemia. What is the appropriate nursing intervention for hypoglycemia management?

A client is worried about maintaining the effectiveness of insulin during hot summer months. What guidance should the nurse provide to the client regarding insulin storage and handling in warm weather?

A client on insulin therapy is planning to engage in increased physical activity. How should the nurse advise the client about monitoring and adjusting insulin therapy?

Which type of insulin is commonly used in insulin pumps?

A client is prescribed insulin therapy and is experiencing hypoglycemia. The nurse prepares to administer glucagon. How should the nurse explain the dosing of glucagon?