The nurse is evaluating a client with diabetes mellitus, type 1 who was taught about self-administration of prescribed insulin. Which of the following actions by the client would indicate that more teaching is needed?

Rubbing the injection site after the insulin is injected

Injecting the needle at a 90-degree angle

Preparing to inject the insulin by grasping the skin

Identifying a pattern for rotation of injection sites

Answer and Explanation

The Correct Answer is A

A. Rubbing the injection site after insulin administration is not recommended, as it can increase the risk of bruising or irritation. Insulin should be injected into the subcutaneous tissue, and massaging or rubbing the site can cause the insulin to be absorbed too quickly, leading to unpredictable blood sugar levels.
B. Injecting the needle at a 90-degree angle is the correct technique for subcutaneous insulin injection, especially when using shorter needles. A 90-degree angle ensures the insulin is delivered into the subcutaneous tissue.
C. Grasping the skin helps to ensure that the insulin is injected into the subcutaneous layer and not into the muscle, which can affect absorption.
D. Rotating injection sites is important to prevent tissue damage or lipodystrophy (thickening or atrophy of the skin). Following a pattern helps ensure that insulin is injected into different areas for consistent absorption.

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 C

Explanation

A. Chocolate is actually a common trigger for migraines in some people, due to its caffeine content and the presence of other compounds that can provoke migraines. It’s better to avoid chocolate if it is a known trigger.
B. Oral contraceptives can sometimes trigger migraines in women, especially those with a history of migraines. The hormonal fluctuations associated with oral contraceptive use can be a potential trigger for some individuals.
C. Maintaining a regular sleep schedule is an important lifestyle change for migraine prevention. Irregular sleep patterns or poor-quality sleep are common triggers for migraines. A consistent sleep routine helps regulate the body’s circadian rhythms and may help reduce migraine frequency.
D. Bright lighting can actually trigger migraines in some people. It’s better to avoid glare and use softer, dimmer lighting, especially in environments where you spend a lot of time.

A. magnesium hydroxide (Milk of Magnesia) B. amitriptyline (Elavil) C. acetaminophen (Tylenol) D. gabapentin (Neurontin)

Correct Answer is A

Explanation

A. Magnesium hydroxide can interfere with the absorption of levothyroxine (Synthroid) and reduce its effectiveness. The nurse should notify the healthcare provider if the client is taking magnesium hydroxide or any other antacid that contains magnesium, calcium, or aluminum because these can decrease the absorption of levothyroxine.
B. While amitriptyline (an antidepressant) may interact with other medications, it does not typically interfere with levothyroxine. However, the nurse should always be cautious about potential interactions, especially with medications that affect the central nervous system.
C. Acetaminophen (Tylenol) does not typically interact with levothyroxine. It is safe to take acetaminophen while on levothyroxine.
D. Gabapentin (Neurontin) does not generally interfere with levothyroxine absorption or action. However, as with any medication, the nurse should be aware of other potential interactions based on the client’s overall health.

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 is evaluating a client with diabetes mellitus, type 1 who was taught about self-administration of prescribed insulin. Which of the following actions by the client would indicate that more teaching is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?.

Correct Answer is C

Explanation

The nurse is reviewing the medication list with a client with hypothyroidism who is prescribed levothyroxine (Synthroid). The nurse should notify the health care provider if the client reported taking which of the following medications?

Correct Answer is A

Explanation

The nurse is teaching a client with diabetes mellitus, type 2 who recently had an insulin pump placed. Which of the following information should the nurse include in the teaching?

The nurse in the emergency department is caring for a client with diabetic ketoacidosis and has the following prescriptions. Which of these prescriptions should the nurse clarify?

The nurse is administering prescribed levothyroxine to a client on the medical unit. How should this medication be given for best absorption?

The nurse is assessing a client with hyperthyroidism. Which of the following findings should the nurse expect? Select all that apply.

The nurse is completing reconciliation of a client's medications prior to discharge and the list includes an oral antidiabetic drug and glargine [Lantus] insulin. Which of the following new prescriptions causes the nurse concern?

The nurse is caring for a client newly diagnosed with diabetes mellitus who states, "I do not understand why I have diabetes when I try not to eat a lot of sugar." Which of the following responses should the nurse make?

The nurse is teaching a client newly diagnosed with Alzheimer's disease about the medication donepezil (Aricept). Which of the following information should the nurse include in the teaching?

The nurse is administering prescribed medication to a client experiencing status epilepticus. Which of the following medications should the nurse question?