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 catheter under your skin should be changed every week."

"Your pump will be filled with a rapid-acting insulin."

"You should not remove the pump for any reason."

"You will need to check your blood glucose level once each day."

Answer and Explanation

The Correct Answer is B

A. The catheter (infusion set) should generally be changed every 2 to 3 days, not every week, to avoid infection or issues with insulin delivery.
B. Insulin pumps are typically filled with rapid-acting insulin (such as insulin aspart, lispro, or glulisine) because it starts working quickly to help control blood glucose levels throughout the day.
C. The pump can be removed temporarily for activities like showering or swimming, though the catheter or infusion set must remain in place. However, clients should not remove the pump for extended periods without consulting their healthcare provider.
D. Clients using an insulin pump should check their blood glucose levels multiple times per day, typically before meals and at bedtime, to ensure accurate insulin dosing and blood sugar control.

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Correct Answer is C

Explanation

A. Hypothyroidism is actually more common in women than men, particularly in middle-aged and older women.
B. Low thyroid hormone levels typically lead to a slower heart rate (bradycardia), not an increased heart rate.
C. Hypothyroidism can cause extreme fatigue is correct. Fatigue is one of the most common symptoms of hypothyroidism due to the slowed metabolic processes resulting from low levels of thyroid hormones.
D. Hypothyroidism is associated with weight gain, not weight loss, due to a slowed metabolism. Unexpected weight loss is more commonly seen in hyperthyroidism.

A. "I will use the first drop of blood for my sample" B. "I will poke in the center of the pad of my finger to obtain a sample for testing" C. "I will apply a cold compress on my fingers if I cannot collect any blood" D. "I will make sure I have clean hands prior to testing"

Correct Answer is D

Explanation

A. It is generally recommended to discard the first drop of blood when testing with a glucometer because it may be diluted with tissue fluid, leading to inaccurate results. The second drop should be used for the sample.
B. The center of the fingertip should be avoided for testing because it contains more nerve endings and can be more painful. It is better to poke the sides of the fingertip for a less painful experience.
C. A cold compress may cause blood vessels to constrict, making it even harder to obtain a blood sample. Gentle massaging of the finger or warming the hands may help with blood flow.
D. It is important to wash hands before testing to ensure that the blood sample is not contaminated with food residues, dirt, or other substances that could affect the accuracy of the glucose reading.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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