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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Injecting insulin into the same spot every day can lead to skin changes, scar tissue formation, and poor insulin absorption. Rotating injection sites is important to prevent complications.
Incorrect choices:
b. Using a 90-degree angle when inserting the needle is a common technique for insulin injections. This statement is correct.
c. Avoiding scar tissue and areas with visible blood vessels is important to ensure proper insulin absorption. This statement is correct.
d. Pinching the skin before inserting the needle can help ensure subcutaneous injection and prevent injecting into muscle. This statement is correct.
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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