Which treatment approach involves delivering a continuous subcutaneous insulin infusion using an insulin pump and providing bolus doses before meals to mimic physiologic insulin secretion?
Oral antidiabetic medication therapy.
Basal-bolus insulin therapy.
Sliding-scale insulin therapy.
Insulin glargine therapy.
The Correct Answer is B
Basal-bolus insulin therapy involves administering a continuous basal insulin infusion to provide background insulin coverage and delivering bolus doses of insulin before meals to cover postprandial glucose elevations.
Incorrect choices:
a. This choice is incorrect. Oral antidiabetic medications are not used in basal-bolus insulin therapy.
c. This choice is incorrect. Sliding-scale insulin therapy involves adjusting insulin doses based on current blood glucose levels, rather than providing consistent basal and mealtime coverage.
d. This choice is incorrect. Insulin glargine therapy provides long-acting basal insulin coverage but does not involve bolus doses before meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Soaking feet in hot water can lead to burns and is not recommended for individuals with diabetes, as they may have reduced sensation. Warm water and gentle cleaning are more appropriate for foot care.
Incorrect choices:
a. This statement is correct. Daily inspection of the feet is important to detect any cuts, sores, or blisters early and prevent complications.
c. This statement is correct. Wearing comfortable shoes and avoiding high heels helps protect the feet and prevent injuries.
d. This statement is correct. Moisturizing the feet regularly can help prevent dry skin, which can lead to cracks and potential infections.
Correct Answer is D
Explanation
Secondary diabetes mellitus is caused by other medical conditions or factors that affect insulin secretion or action, such as medications, hormonal disorders, or specific medical conditions.
Incorrect choices:
a. This choice is incorrect. Type 1 diabetes mellitus is primarily caused by autoimmune destruction of beta cells.
b. This choice is incorrect. Type 2 diabetes mellitus involves insulin resistance and relative insulin deficiency, often influenced by lifestyle factors.
c. This choice is incorrect. Gestational diabetes mellitus occurs during pregnancy due to hormonal changes and is not primarily caused by other medical conditions or factors.
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