A client with type 1 diabetes is prescribed an insulin-to-carbohydrate ratio (ICR) of 1:10. How should the nurse explain this dosing to the client?
"For every 1 unit of insulin, you should consume 10 grams of carbohydrates."
"You should inject 10 units of insulin for every 1 gram of carbohydrates you consume."
"You should consume 10 units of insulin for every 1 unit of carbohydrates."
"Inject 1 unit of insulin for every 10 grams of carbohydrates you eat."
The Correct Answer is A
An insulin-to-carbohydrate ratio (ICR) of 1:10 means that for every 1 unit of insulin, the client should consume 10 grams of carbohydrates to help manage postprandial glucose levels.
Incorrect choices:
b. Injecting 10 units of insulin for every 1 gram of carbohydrates would result in excessive insulin dosing and potential hypoglycemia.
c. Consuming 10 units of insulin for every 1 unit of carbohydrates would lead to excessive insulin administration and hypoglycemia.
d. Injecting 1 unit of insulin for every 10 grams of carbohydrates would result in insufficient insulin dosing and potentially high blood glucose levels.
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Related Questions
Correct Answer is C
Explanation
Subcutaneously. Insulin is typically administered through subcutaneous injections, allowing it to be absorbed into the bloodstream from fatty tissue under the skin.
Incorrect choices:
a. Insulin is a protein and would be broken down in the digestive system if taken orally.
b. Intravenous administration is not commonly used for insulin therapy due to the rapid onset of action and risk of hypoglycemia.
d. Intramuscular administration is not common for insulin therapy because absorption may be unpredictable and could lead to variability in blood glucose control.
Correct Answer is C
Explanation
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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