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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
determine how many capsules the nurse should administer for 1 dose, we first need to divide the total daily dose by the number of doses:
1,800 mg ÷ 3 doses = 600 mg per dose.
Now, since each capsule contains 300 mg, we divide the dose by the amount per capsule:
600 mg ÷ 300 mg per capsule = 2 capsules.
Correct Answer is A
Explanation
A. Phenytoin (Dilantin) is known to cause gingival hyperplasia (gum overgrowth), so it is important for the client to maintain good oral hygiene to help reduce the risk of this side effect. Regular brushing, flossing, and dental check-ups are recommended to help manage and prevent gum problems.
B. Phenytoin has a narrow therapeutic index, meaning that small changes in the dose or blood levels of the drug can have significant effects. Switching between brand name and generic forms of phenytoin may lead to variations in drug absorption, potentially affecting the client’s seizure control. The client should use the same brand unless instructed otherwise by their healthcare provider.
C. Phenytoin is not considered safe during pregnancy due to the risk of birth defects (e.g., fetal hydantoin syndrome). Women who are pregnant or planning to become pregnant should discuss alternative treatments with their healthcare provider.
D. Phenytoin can be taken with food to reduce gastrointestinal irritation. It is important to follow the specific instructions provided by the healthcare provider or pharmacist.
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