A client is receiving multiple daily injections of insulin. Which technique by the client indicates a need for further education?

Rotating injection sites within the same area for each injection

Administering regular insulin before meals

Drawing up the cloudy insulin before the clear insulin

Using a 45-degree angle for subcutaneous injections

Answer and Explanation

The Correct Answer is C

Drawing up the cloudy insulin before the clear insulin. When mixing insulins, clear insulin should be drawn up first to prevent contaminating the clear insulin with the cloudy insulin.

Incorrect choices:

a. Rotating injection sites within the same area helps prevent lipohypertrophy and ensures consistent absorption.

b. Administering regular insulin before meals aligns with the timing needed to cover postprandial glucose spikes.

d. Using a 45-degree angle for subcutaneous injections is a recommended technique for insulin administration to ensure proper subcutaneous delivery.

Nursing Test Bank

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Correct Answer is A

Explanation

Continue with the regular insulin regimen as usual. It is important for the client to maintain blood glucose control even on the day of surgery. The nurse should advise the client to follow the regular insulin regimen unless otherwise instructed by the healthcare provider.

Incorrect choices:

b. Skipping insulin doses can lead to hyperglycemia and unstable blood glucose levels, especially during fasting.

c. Decreasing the insulin dose without appropriate guidance can result in poor blood glucose control.

d. Stopping insulin therapy abruptly can lead to hyperglycemia and potential complications. Insulin adjustments should be made under healthcare provider supervision.

A. Draw up the rapid-acting insulin first. B. Draw up the intermediate-acting insulin first. C. It doesn't matter which insulin is drawn up first. D. Draw up the regular insulin first.

Correct Answer is A

Explanation

Drawing up rapid-acting insulin before intermediate-acting insulin prevents contamination of the rapid-acting insulin vial with the longer-acting insulin.

Incorrect choices:

b. Drawing up intermediate-acting insulin first can contaminate the vial with rapid-acting insulin, potentially altering dosing accuracy.

c. The order in which insulin is drawn up does matter to prevent contamination.

d. Regular insulin is not commonly used for injection in routine insulin therapy.

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A client is receiving multiple daily injections of insulin. Which technique by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with diabetes is scheduled for surgery and will be fasting before the procedure. How should the nurse instruct the client about monitoring and adjusting insulin therapy on the day of surgery?

Correct Answer is A

Explanation

When drawing up insulin from two different vials (e.g., rapid-acting and intermediate-acting insulin), which type of insulin should be drawn up first?

Correct Answer is A

Explanation

A client with diabetes is prescribed both basal and prandial insulin. The nurse is teaching the client about the difference between these two types of insulin. Which statement by the client indicates a need for further education?

A client with type 1 diabetes is prescribed an insulin-to-carbohydrate ratio (ICR) of 1:10. How should the nurse explain this dosing to the client?

A client with diabetes is prescribed a basal-bolus insulin regimen. The nurse teaches the client about this regimen. Which statement by the client indicates a need for further education?

A client with diabetes is prescribed insulin glargine (Lantus) once daily. Which statement by the client indicates a need for further education about insulin administration?

Which insulin administration route has the slowest onset of action?

A nurse is providing education to a client newly diagnosed with type 1 diabetes who will be starting insulin therapy. Which statement by the client indicates a need for further education?

A client is concerned about traveling with insulin and asks the nurse if there are any specific storage recommendations. Which information should the nurse provide regarding insulin storage during travel?

A client on insulin therapy has been consistently experiencing elevated fasting blood glucose levels. What should the nurse do to monitor and adjust the client's insulin regimen?