The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

Rotate sites when injecting insulin glargine.

There is no peak of action for this insulin, which reduces the risk of hypoglycemia.

Food should be consumed within 30 minutes after injection.

Check for microalbuminuria if blood glucose levels are above 280 mg/dL.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale

Rotating injection sites when administering insulin glargine is important to prevent lipodystrophy, a condition that can affect insulin absorption.

Choice B rationale

Insulin glargine has no peak of action, which reduces the risk of hypoglycemia. This is a key feature of long-acting insulins like glargine.

Choice C rationale

Food does not need to be consumed within 30 minutes after injection of insulin glargine. This is a characteristic of rapid-acting insulins, not long-acting insulins like glargine.

Choice D rationale

Checking for microalbuminuria if blood glucose levels are above 280 mg/dL is a good practice. Microalbuminuria can be an early sign of kidney damage, which can occur with poorly controlled diabetes.

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Correct Answer is A

Explanation

The correct answer is Choice A. Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection. Therefore, the client should eat within 15 minutes of taking the insulin to prevent hypoglycemia. So, if the client takes the insulin at 0630, they should start eating at 06404

A. Have the client drink 4 oz. of orange juice B. Give the client 3 tbsp. C. of sugar dissolved in 4 oz. of grape juice to drink D. Monitor the client closely until dinner arrives

Correct Answer is A

Explanation

Step 1 is to understand that a blood glucose level of 50 mg/dL is considered hypoglycemic. Immediate treatment is necessary to raise the blood glucose level.

Step 2 is to follow the 15-15 rule for treating hypoglycemia, which recommends consuming 15 grams of carbohydrates and then checking blood glucose levels after 15 minutes. Four ounces of orange juice contains about 15 grams of carbohydrates and can quickly raise blood glucose levels.

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The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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Naxlex Comprehensive Predictor Exams

A nurse gives a client 10 units of insulin lispro at 0630. When should the client have breakfast?

Correct Answer is A

Explanation

A Type 1 diabetic client’s blood glucose level is 50 mg/dL at 16:30. The client is alert; however, dinner will not be served until 17:15. What should be the nurse’s initial action?

Correct Answer is A

Explanation

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