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?

"Basal insulin provides a steady amount of insulin throughout the day."

"Prandial insulin helps control the rise in blood sugar after meals."

"I'll take my basal insulin before each meal."

"Prandial insulin is also called rapid-acting insulin."

Answer and Explanation

The Correct Answer is C

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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Correct Answer is D

Explanation

Offering a source of fast-acting carbohydrates. Fast-acting carbohydrates, such as glucose tablets or juice, can quickly raise blood sugar levels and alleviate hypoglycemic symptoms.

Incorrect choices:

a. Administering a long-acting insulin injection would not address the immediate need to raise blood sugar levels during an episode of hypoglycemia.

b. Providing a high-fat snack would not rapidly increase blood sugar levels and alleviate symptoms of hypoglycemia.

c. Giving a rapid-acting insulin injection would further lower blood sugar levels and worsen hypoglycemia symptoms.

A. Rotating injection sites within the same area for each injection B. Administering regular insulin before meals C. Drawing up the cloudy insulin before the clear insulin D. Using a 45-degree angle for subcutaneous injections

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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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?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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

Correct Answer is C

Explanation

A client is prescribed both long-acting and short-acting insulin. Which statement by the client demonstrates an understanding of insulin administration?

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?

Which insulin administration route has the slowest onset of action?

A client with diabetes is experiencing hypoglycemia and is conscious. Which intervention should the nurse implement for hypoglycemia management?

Which type of diabetes typically requires insulin therapy?

A client with diabetes is experiencing hypoglycemia and is conscious. The nurse provides the client with a glucose gel tube. What should the nurse instruct the client to do next?

What is the recommended technique for insulin injection?

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?