The nurse is teaching a client who has been diagnosed with type 2 diabetes about the newly prescribed external insulin pump. What are appropriate teaching points for the nurse to include? Select all that apply.

"Change the tubing frequently, at recommended intervals."

"Additional insulin requires a separate injection site."

"Make sure to have your pump calibrated weekly."

"Watch for signs and symptoms of infection."

Answer and Explanation

Correct Answer : A,C,D

A. "Change the tubing frequently, at recommended intervals.": Insulin pump users must change tubing and infusion sites every 2–3 days to prevent occlusion, insulin degradation, or infection. Proper maintenance helps ensure consistent insulin delivery and reduces complications.

B. "Additional insulin requires a separate injection site.": External insulin pumps can deliver both basal and bolus doses through the same subcutaneous site, eliminating the need for separate injections. Therefore, additional insulin dosing does not require a different site unless the pump malfunctions.

C. "Make sure to have your pump calibrated weekly.": Many pumps require regular calibration or confirmation of accurate delivery, especially if integrated with a continuous glucose monitor. Weekly checks help ensure safe and effective insulin administration.

D. "Watch for signs and symptoms of infection.": Infection is a risk due to the constant presence of subcutaneous tubing. Clients must inspect the site regularly for redness, swelling, warmth, or discharge and practice proper hygiene when changing the site to prevent complications.

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Correct Answer is C

Explanation

A. "Reduce the fiber in your diet.": Bulk-forming laxatives, such as psyllium, work similarly to dietary fiber by absorbing water and increasing stool bulk. Reducing dietary fiber would counteract the intended therapeutic effect and is not advised during treatment.

B. "This medication will make you drowsy.": Bulk-forming laxatives do not have central nervous system effects and are not associated with sedation or drowsiness. This side effect is more relevant for medications like antihistamines or opioid analgesics.

C. "Drink plenty of fluid while taking this.": Adequate fluid intake is essential when using bulk-forming laxatives to prevent intestinal obstruction. Water helps the fiber expand and form a soft, bulky stool, which promotes effective and safe bowel movements.

D. "This laxative can be addictive.": Unlike stimulant laxatives, bulk-forming agents do not cause dependency or lead to laxative abuse. They are safe for long-term use when taken with sufficient water and proper diet.

A. 24 hours B. 48 hours C. 12 hours D. 6 hours

Correct Answer is B

Explanation

A. 24 hours: While mild diarrhea may improve within 24 hours, it is generally acceptable to continue over-the-counter treatment for a short period. Advising follow-up after just 24 hours may be premature unless the client exhibits other concerning symptoms such as fever or dehydration.

B. 48 hours: Diarrhea that persists beyond 48 hours may indicate an underlying infection, inflammatory condition, or another medical issue requiring professional evaluation. At this point, further assessment and possibly diagnostic testing are needed to avoid complications.

C. 12 hours: This time frame is too short to assess treatment effectiveness with an OTC agent. Mild diarrhea often improves over a day or two, so instructing clients to seek care after only 12 hours is unnecessary unless accompanied by red flags like blood in stool or signs of severe dehydration.

D. 6 hours: Six hours is too short a window to evaluate the resolution of diarrhea, especially for self-limited cases. Immediate medical attention within this time frame is usually reserved for infants or clients with severe symptoms, not routine adult cases using OTC therapy.

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The nurse is teaching a client who has been diagnosed with type 2 diabetes about the newly prescribed external insulin pump. What are appropriate teaching points for the nurse to include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is an important teaching point for the nurse to make to a client taking a bulk- forming laxative?

Correct Answer is C

Explanation

The client reports using an over-the-counter (OTC) antidiarrheal agent for treatment of diarrhea, the nurse would educate the client to contact their primary health care provider if diarrhea is not resolved in which time frame?

Correct Answer is B

Explanation

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