A client with type 1 diabetes is experiencing variability in blood glucose levels throughout the day. What should the nurse teach the client about monitoring and adjusting insulin therapy?
Administer the same dose of insulin regardless of the meal's carbohydrate content.
Monitor blood glucose levels only once daily to avoid stress.
Adjust insulin doses based on blood glucose patterns and carbohydrate intake.
Use rapid-acting insulin for basal coverage and long-acting insulin for meal coverage.
The Correct Answer is C
Monitoring blood glucose levels regularly and adjusting insulin doses based on patterns and carbohydrate intake helps maintain stable blood glucose levels.
Incorrect choices:
a. Administering the same insulin dose regardless of carbohydrate content can lead to inconsistent blood glucose control.
b. Monitoring blood glucose levels only once daily does not provide enough information for effective insulin dosing adjustments.
d. The described approach involves using insulin types inappropriately for their intended purposes.
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Related Questions
Correct Answer is B
Explanation
Insulin syringes should not be reused due to the risk of contamination, infection, and inaccurate dosing.
Incorrect choices:
a. Drawing up short-acting insulin before long-acting insulin is a recommended practice to prevent contamination of the long-acting insulin vial.
c. Rotating injection sites within the same anatomical area helps prevent lipohypertrophy and ensures consistent absorption.
d. Insulin vials should be kept refrigerated to maintain their potency, but they can be kept at room temperature for up to 28 days once in use to prevent discomfort from cold injections.
Correct Answer is B
Explanation
While orange juice can raise blood sugar quickly, it can also cause a rapid spike and subsequent crash, leading to further hypoglycemia.
Incorrect choices:
a. Keeping glucose tablets or gel on hand is a recommended practice to rapidly raise blood sugar in case of hypoglycemia.
c. Eating a high-protein snack can help stabilize blood sugar and prevent it from dropping too low.
d. Following up with a healthcare provider about frequent episodes of hypoglycemia is important to adjust insulin therapy and prevent future episodes.
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