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?
"I'll take a long-acting insulin in the morning and evening."
"I'll use rapid-acting insulin before each meal."
"I should avoid snacking between meals to prevent low blood sugar."
"I'll rotate injection sites within the same area to prevent skin changes."
The Correct Answer is C
With a basal-bolus insulin regimen, clients are often encouraged to have snacks between meals to help prevent hypoglycemia caused by rapid-acting insulin. Snacking helps maintain more stable blood sugar levels.
Incorrect choices:
a. Taking a long-acting insulin in the morning and evening is consistent with a basal-bolus regimen. This statement is correct.
b. Using rapid-acting insulin before each meal is consistent with a basal-bolus regimen. This statement is correct.
d. Rotating injection sites within the same area is a recommended practice to prevent skin changes and complications associated with repeated injections. This statement is correct.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Encouraging the client to consume a high-protein snack. Consuming a high-protein snack along with a source of fast-acting carbohydrates helps stabilize blood sugar levels and prevent further hypoglycemia.
Incorrect choices:
a. Administering glucagon injection is indicated for severe hypoglycemia when the client is unconscious or unable to swallow.
b. Starting an IV glucose infusion is reserved for severe hypoglycemia cases that are unresponsive to other interventions or when the client is unable to tolerate oral intake.
d. Monitoring blood sugar levels every 4 hours is a routine practice but does not address the immediate need to treat hypoglycemia.
Correct Answer is D
Explanation
Basal insulin is typically administered once or twice daily to mimic the body's basal insulin secretion and maintain stable blood glucose levels between meals and overnight.
Incorrect choices:
a. Basal insulin is not administered before meals; it is intended to regulate fasting glucose levels.
b. Basal insulin does not cover carbohydrates consumed in meals; it targets basal glucose levels.
c. Rapid-acting insulin is not synonymous with basal insulin; they serve different purposes in insulin therapy.
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