The nurse is teaching a newly diagnosed type 1 diabetic patient about insulin administration and glucose monitoring, which statements will be included in the teaching plan? (select all that apply)
All complementary and alternative therapies are safe to use along with insulin.
Wash your hands prior to insulin administration.
Unopened insulin vials should be stored in the refrigerator.
With diet and exercise you may be able to stop taking insulin.
You will need to monitor your glucose more often when you are ill.
Correct Answer : B,C,E
A. All complementary and alternative therapies are safe to use along with insulin.: Not all complementary or alternative therapies are safe for patients taking insulin. Some may affect blood glucose levels or interact with insulin, potentially causing hypoglycemia or hyperglycemia. Patients should always discuss any supplements with their healthcare provider.
B. Wash your hands prior to insulin administration.: Proper hand hygiene reduces the risk of infection at the injection site and prevents contamination of the insulin vial or syringe. This is a key safety practice in self-administration of insulin.
C. Unopened insulin vials should be stored in the refrigerator.: Storing unopened insulin in the refrigerator preserves its potency until the expiration date. Exposure to heat or direct sunlight can degrade the insulin, reducing its effectiveness.
D. With diet and exercise you may be able to stop taking insulin.: Type 1 diabetes requires lifelong insulin therapy because the pancreas produces little to no insulin. Diet and exercise alone cannot replace the need for insulin. Stopping insulin could lead to life-threatening hyperglycemia or diabetic ketoacidosis.
E. You will need to monitor your glucose more often when you are ill.: Illness can cause stress-induced hyperglycemia and unpredictable blood glucose fluctuations. Frequent monitoring allows timely adjustment of insulin and prevention of complications such as diabetic ketoacidosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Chronic kidney disease: While kidney disease requires careful monitoring of anticoagulants, it is not an absolute contraindication for warfarin. Dose adjustments and frequent INR monitoring can allow safe use in many patients with renal impairment.
B. Hypertension: Hypertension is common in patients taking warfarin but is not a contraindication. Careful blood pressure control is important to reduce the risk of hemorrhagic complications, but warfarin can still be used safely.
C. Diabetes mellitus: Diabetes does not preclude warfarin therapy. Patients with diabetes may require monitoring for cardiovascular risk, but anticoagulation is not contraindicated solely due to diabetes.
D. Active bleeding disorders: Warfarin inhibits clotting and increases bleeding risk, making it contraindicated in patients with active bleeding. Administering warfarin in this context could lead to life-threatening hemorrhage and must be avoided.
Correct Answer is ["A","B","E"]
Explanation
A. "Report any unexpected bleeding to your primary health care provider.": Aspirin and clopidogrel inhibit platelet function, increasing the risk of bleeding. Promptly reporting unusual bruising, nosebleeds, or gastrointestinal bleeding is crucial for patient safety.
B. "Continue taking your newly prescribed medications until your prescriber tells you not to do so.": Consistent use of antiplatelet therapy is essential to prevent stent thrombosis and recurrent ACS. Abrupt discontinuation could result in life-threatening clot formation.
C. "Drink a full glass of water with each dose of your new medications.": While generally good advice for some medications, it is not specifically required for aspirin or clopidogrel and does not impact their effectiveness or safety.
D. "Eat foods high in vitamin K and calcium to help prevent clotting.": Vitamin K promotes clotting, which could counteract the antiplatelet effects of aspirin and clopidogrel. This advice is not appropriate or beneficial for the patient.
E. "Avoid taking other medications that can cause bleeding, such as NSAIDs like ibuprofen.": NSAIDs increase bleeding risk when combined with antiplatelet therapy. Avoiding these medications is essential to reduce the likelihood of serious hemorrhagic complications.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.