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

Injecting insulin into the same spot every day can lead to skin changes, scar tissue formation, and poor insulin absorption. Rotating injection sites is important to prevent complications.

Incorrect choices:

b. Using a 90-degree angle when inserting the needle is a common technique for insulin injections. This statement is correct.

c. Avoiding scar tissue and areas with visible blood vessels is important to ensure proper insulin absorption. This statement is correct.

d. Pinching the skin before inserting the needle can help ensure subcutaneous injection and prevent injecting into muscle. This statement is correct.

A. "You will need to adjust your insulin dose based on how you feel each day." B. "Your healthcare provider will prescribe a specific insulin dose that you should follow." C. "It's best to start with a high dose of insulin and gradually decrease it over time." D. "You can determine your insulin dose by checking your blood sugar level before and after each meal."

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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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

A client is receiving insulin therapy for diabetes management. The nurse is providing education about the importance of proper injection techniques. Which statement by the client indicates a need for further education?

Correct Answer is A

Explanation

A client with type 1 diabetes is starting insulin therapy. The client asks the nurse, "How do I know what dose of insulin to take?" What is the nurse's best response?

Correct Answer is B

Explanation

A nurse is preparing to administer insulin lispro (Humalog) to a client. Which action by the nurse indicates the need for further education about insulin administration?

Which individuals are candidates for insulin therapy?

A client with diabetes is prescribed insulin glargine (Lantus) once daily. Which statement by the client indicates a need for further education about insulin administration?

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

Which site is commonly used for insulin injection in children?

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?

Which type of diabetes typically requires insulin therapy?

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?