The nurse attended a staff education conference about insulin therapy for diabetic management. Which of the following statements by the nurse would indicate that more education is needed?

"Bedtime snacks are provided to prevent hypoglycemic reaction at night."

"Food should be provided to the client at the peak action time of the insulin."

"NPH and regular insulin can be combined in one syringe by first drawing up the NPH.

"Clients should be provided information about hypoglycemia and its management.

Answer and Explanation

The Correct Answer is B

A. Bedtime snacks are often recommended for clients using insulin to help prevent nighttime hypoglycemia, especially if they are taking insulin that has a peak action during the night (e.g., NPH insulin).
B. The timing of food intake should not necessarily coincide with the peak action of the insulin. For example, rapid-acting insulins should be given around meal times, but the timing of food isn't strictly tied to the insulin peak. It's more important to match the insulin to meal timing to help with glucose control.
C. When mixing NPH (a longer-acting insulin) and regular insulin (a shorter-acting insulin), the correct technique is to draw up the regular insulin first to avoid contamination of the regular insulin with the NPH insulin, which is cloudy.
D. Educating clients about the signs, symptoms, and management of hypoglycemia is essential to safe insulin therapy.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["35"]

Explanation

Insulin syringes are commonly marked in units rather than milliliters (mL). If it's a U-100 insulin syringe, each marking represents 1 unit. The plunger in the image above is at 35 indicating 35 units of insulin.

A. The use of carbidopa prevents dyskinesia. B. Using both drugs prevents drug tolerance. C. The combination of both medications is necessary to prevent side effects. D. The carbidopa prevents the premature metabolism of levodopa.

Correct Answer is D

Explanation

A. Carbidopa does not directly prevent dyskinesia. Dyskinesia is often a side effect of long-term levodopa therapy. Carbidopa’s role is to help optimize the effectiveness of levodopa and reduce side effects, but it does not specifically prevent dyskinesia.
B. The combination of levodopa and carbidopa does not prevent drug tolerance. Drug tolerance refers to the reduced effect of a drug over time, and while the combination may help with optimal absorption and effectiveness, it doesn't directly address tolerance.
C. While carbidopa helps reduce some side effects (such as nausea and vomiting) by preventing the peripheral breakdown of levodopa, the primary purpose of combining the two drugs is not solely to prevent side effects but to improve levodopa's effectiveness and absorption in the brain.
D. Carbidopa inhibits the enzyme aromatic L-amino acid decarboxylase (AADC) in the peripheral tissues, preventing the premature breakdown (metabolism) of levodopa into dopamine before it reaches the brain. This allows more levodopa to enter the brain and be converted into dopamine, enhancing the therapeutic effect for Parkinson's disease.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse attended a staff education conference about insulin therapy for diabetic management. Which of the following statements by the nurse would indicate that more education is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How many units is the arrow pointing to on the syringe below? Enter numeric value only

Correct Answer is ["35"]

Explanation

The nurse is caring for a client with Parkinson's disease. The nurse understands the client is on both levodopa and carbidopa for which of the following reasons?

Correct Answer is D

Explanation

The nurse is teaching a female client about ways to prevent a migraine. Which of the following information should the nurse include in the teaching?.

The nurse caring for a client with diabetes, type 2 who has a blood sugar level of 289 mg/dL noted an increase in urine output. Which of the following findings should the nurse expect?

The nurse is caring for a client who is having an active seizure. Which of the following actions should the nurse take? Select all that apply.

The nurse is caring for a client who experienced a seizure. The nurse knows which of the following is NOT a risk factors for seizure activity?

The nurse is obtaining a medical history from a client scheduled for a thyroid diagnostic test. Which of the following findings may affect the results?

The nurse is planning care for a client experiencing headaches. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.

The nurse is caring for a client receiving treatment for myxedema. The nurse should explain that warm blankets are used to warm the client instead of heating pads for which of the following reasons?

The nurse is talking to a new nurse about gestational diabetes. Which of the following information should the nurse provide?