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.

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Correct Answer is C

Explanation

A. Alcohol withdrawal is a known risk factor for seizures. It can lead to withdrawal seizures, especially if the client has been drinking heavily and abruptly stops or reduces alcohol consumption.
B. A genetic predisposition can increase the risk of seizures. Certain genetic conditions, such as epilepsy, can increase the likelihood of experiencing seizures.
C. Tension headaches are not typically considered a risk factor for seizures. While headache disorders like migraines can sometimes be associated with seizures, tension headaches are generally not linked to an increased risk of seizure activity.
D. Prolonged hypoxemia (low oxygen levels) can lead to brain injury and is a well-established risk factor for seizures. When the brain does not receive enough oxygen, it can trigger seizure activity.
E. Older adults are at a higher risk for seizures, often due to conditions such as stroke, brain tumors, or age-related changes in the brain that can affect electrical activity.

A. Your pancreas is not secreting enough insulin to help regulate your blood sugar level. B. Your pancreas is not breaking down glycogen that leads to increased blood sugar level. C. Your liver is secreting too much glucagon and that leads to increased blood sugar level. D. Your liver is absorbing too much insulin that is why it cannot be used by the blood.

Correct Answer is A

Explanation

A. In type 1 diabetes, the pancreas either does not produce any insulin or produces very little insulin. Insulin is necessary to help regulate blood sugar levels by allowing glucose to enter cells. In type 2 diabetes, the body may not respond to insulin effectively (insulin resistance), or the pancreas may not produce enough insulin to meet the body's needs. Either way, insulin production or function is impaired, leading to elevated blood sugar levels.
B. The pancreas does not break down glycogen. Instead, the liver breaks down glycogen into glucose when blood sugar is low. The pancreas's role in diabetes is primarily related to insulin production or secretion, not the breakdown of glycogen.
C. Glucagon is a hormone produced by the pancreas that signals the liver to release glucose when blood sugar is low. In diabetes, the issue is typically with insulin production or the body’s response to insulin, not an overproduction of glucagon.
D. This statement is confusing. The liver does not absorb insulin. In type 2 diabetes, the problem is typically insulin resistance, meaning the body’s cells, including those in the liver, do not respond properly to insulin. In type 1 diabetes, the issue is a lack of insulin production.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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