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

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. "Basal insulin provides a steady amount of insulin throughout the day." B. "Prandial insulin helps control the rise in blood sugar after meals." C. "I'll take my basal insulin before each meal." D. "Prandial insulin is also called rapid-acting insulin."

Correct Answer is C

Explanation

Basal insulin is typically taken once or twice a day to provide a steady baseline level of insulin, while prandial (mealtime) insulin is taken before meals to control post-meal blood sugar spikes.

Incorrect choices:

a. Basal insulin indeed provides a steady amount of insulin to cover the body's basic metabolic needs between meals and overnight. This statement is correct.

b. Prandial insulin does help control the rise in blood sugar after meals. This statement is correct.

d. Prandial insulin is indeed a type of rapid-acting insulin used to cover meals and control post-meal blood sugar levels. This statement is correct.

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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?

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

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?

Correct Answer is C

Explanation

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 with diabetes is asking about storing insulin. Which statement by the client indicates a need for further education about insulin storage and handling?

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 with type 2 diabetes is learning about self-administration of insulin. Which statement by the client indicates a need for further education?

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?

A nurse is teaching a client about storing insulin pens. Which statement by the client indicates a correct understanding of insulin pen storage and handling?

A nurse is teaching a client with diabetes about insulin therapy. Which statement by the client indicates a need for further education?

A nurse is teaching a client about self-administering insulin. The client asks, "Where is the best site to inject insulin?" Which response is correct?