A client with type 1 diabetes is starting insulin therapy. The client asks the nurse, "How do I know what dose of insulin to take?" What is the nurse's best response?
"You will need to adjust your insulin dose based on how you feel each day."
"Your healthcare provider will prescribe a specific insulin dose that you should follow."
"It's best to start with a high dose of insulin and gradually decrease it over time."
"You can determine your insulin dose by checking your blood sugar level before and after each meal."
The Correct Answer is B
Insulin therapy for type 1 diabetes is individualized and based on factors such as the client's weight, activity level, blood sugar levels, and overall health. The healthcare provider will determine the appropriate insulin dose for the client.
Incorrect choices:
a. Adjusting insulin dose based on how one feels is not a safe or accurate method. Insulin dosing should be guided by healthcare provider recommendations.
c. Starting with a high dose of insulin is not advisable and can lead to hypoglycemia. Insulin dosing should be started conservatively and adjusted as needed.
d. While monitoring blood sugar levels before and after meals is important for diabetes management, it is not the sole method for determining insulin dosing. Healthcare provider guidance is essential.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
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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