A client on insulin therapy is planning to engage in increased physical activity. How should the nurse advise the client about monitoring and adjusting insulin therapy?
Decrease the insulin dose before physical activity to prevent hypoglycemia.
Skip insulin doses on days of increased physical activity.
Monitor blood glucose levels more frequently and adjust insulin doses as needed.
Administer extra insulin doses before physical activity to cover increased glucose needs.
The Correct Answer is C
Increased physical activity can affect blood glucose levels, and the client should monitor levels more frequently and adjust insulin doses to maintain glucose control.
Incorrect choices:
a. Decreasing insulin doses without proper monitoring can lead to hypoglycemia during or after physical activity.
b. Skipping insulin doses can result in elevated blood glucose levels and is not recommended.
d. Administering extra insulin doses without monitoring blood glucose levels can lead to unpredictable outcomes and potential harm.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Insulin pens should be stored at room temperature and protected from direct sunlight. Extreme temperatures can affect insulin's effectiveness.
Incorrect choices:
a. Storing insulin pens in the glove compartment of a car exposes them to temperature fluctuations and extreme heat, which can impact their potency.
b. While an insulated cooler bag can help protect insulin during travel, insulin pens should not be stored in extreme cold.
d. Placing insulin pens in the freezer is not recommended as it can alter the medication's properties and affect its effectiveness.
Correct Answer is C
Explanation
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.
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