A client newly diagnosed with type 2 diabetes is prescribed insulin therapy. The client asks the nurse, "Why do I need insulin if I have type 2 diabetes?" Which response by the nurse is accurate?

"Insulin therapy is only needed for type 1 diabetes."

"Insulin will cure your diabetes and regulate your blood sugar levels."

"Type 2 diabetes can progress over time, leading to decreased insulin production or effectiveness."

"Insulin therapy is used temporarily until oral medications start working."

Answer and Explanation

The Correct Answer is C

In type 2 diabetes, the body's cells may become resistant to the effects of insulin, and the pancreas may produce less insulin over time. This can result in the need for insulin therapy to help manage blood sugar levels effectively.

Incorrect choices:

a. This statement is incorrect. While insulin therapy is commonly associated with type 1 diabetes, it can also be used in type 2 diabetes when other treatments are not sufficient.

b. Insulin therapy does not cure diabetes. It helps manage blood sugar levels and prevents complications, but it does not eliminate the underlying condition.

d. Insulin therapy may be used temporarily, but it can also be a long-term treatment option for type 2 diabetes, especially if other treatments are not effective.

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Correct Answer is A

Explanation

Injecting insulin into the same spot every day can lead to skin changes, scar tissue formation, and poor insulin absorption. Rotating injection sites is important to prevent complications.

Incorrect choices:

b. Using a 90-degree angle when inserting the needle is a common technique for insulin injections. This statement is correct.

c. Avoiding scar tissue and areas with visible blood vessels is important to ensure proper insulin absorption. This statement is correct.

d. Pinching the skin before inserting the needle can help ensure subcutaneous injection and prevent injecting into muscle. This statement is correct.

A. Increase the client's insulin dose to prevent high blood glucose levels. B. Advise the client to consume more carbohydrates to prevent hypoglycemia. C. Collaborate with the healthcare provider to adjust the insulin regimen. D. Instruct the client to skip meals to avoid excessive insulin doses.

Correct Answer is C

Explanation

Frequent hypoglycemic episodes indicate the need for a possible adjustment in insulin therapy. The nurse should work with the healthcare provider to modify the insulin regimen to better match the client's needs.

Incorrect choices:

a. Increasing the insulin dose without healthcare provider guidance may lead to further hypoglycemia and potential harm.

b. Consuming more carbohydrates may provide temporary relief from hypoglycemia but does not address the underlying insulin dosing issue.

d. Skipping meals can lead to unstable blood glucose levels and is not a recommended approach to managing insulin therapy.

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A client newly diagnosed with type 2 diabetes is prescribed insulin therapy. The client asks the nurse, "Why do I need insulin if I have type 2 diabetes?" Which response by the nurse is accurate?

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Naxlex Comprehensive Predictor Exams

A client is receiving insulin therapy for diabetes management. The nurse is providing education about the importance of proper injection techniques. Which statement by the client indicates a need for further education?

Correct Answer is A

Explanation

A client with type 2 diabetes has been on insulin therapy for several months. The client reports frequent episodes of hypoglycemia. Which action by the nurse is appropriate for monitoring and adjusting insulin therapy?

Correct Answer is C

Explanation

Which individuals are candidates for insulin therapy?

Which site is commonly used for insulin injection in children?

Which type of insulin can be used to cover meals and snacks?

A client with type 2 diabetes is prescribed insulin therapy. Which of the following statements is correct regarding basal insulin dosing?

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?

A client with diabetes is experiencing symptoms of hypoglycemia, including sweating, shakiness, and confusion. Which action by the nurse is appropriate for hypoglycemia management?

A client with type 1 diabetes is starting insulin therapy. The client asks the nurse, "How do I know what dose of insulin to take?" What is the nurse's best response?

A client is transitioning from an insulin pump to multiple daily injections. Which of the following statements about mealtime insulin dosing is accurate?