A nurse is providing education to a client newly diagnosed with type 1 diabetes who will be starting insulin therapy. Which statement by the client indicates a need for further education?

"I should rotate my injection sites between my abdomen, thighs, and upper arms."

"I can reuse insulin syringes if I make sure to clean them with alcohol."

"I will store my insulin vials in the refrigerator to keep them fresh."

"I need to eat a meal or snack within 15 minutes of taking my rapid-acting insulin."

Answer and Explanation

The Correct Answer is B

Insulin syringes should not be reused due to the risk of contamination, infection, and inaccurate dosing.

Incorrect choices:

a. Rotating injection sites between different anatomical areas helps prevent lipohypertrophy and ensures consistent absorption.

c. Insulin vials can be kept at room temperature for up to 28 days once in use, but they should be stored away from direct sunlight and extreme temperatures.

d. Eating a meal or snack within 15 minutes of taking rapid-acting insulin helps prevent hypoglycemia and ensures that the insulin is working when glucose levels rise after eating.

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Correct Answer is A

Explanation

Continue with the regular insulin regimen as usual. It is important for the client to maintain blood glucose control even on the day of surgery. The nurse should advise the client to follow the regular insulin regimen unless otherwise instructed by the healthcare provider.

Incorrect choices:

b. Skipping insulin doses can lead to hyperglycemia and unstable blood glucose levels, especially during fasting.

c. Decreasing the insulin dose without appropriate guidance can result in poor blood glucose control.

d. Stopping insulin therapy abruptly can lead to hyperglycemia and potential complications. Insulin adjustments should be made under healthcare provider supervision.

A. "I should carry a source of fast-acting carbohydrates with me at all times." B. "I'll wait until my blood sugar drops really low before treating hypoglycemia." C. "If I experience symptoms of hypoglycemia, I'll check my blood sugar level." D. "I'll notify my healthcare provider if I experience frequent episodes of hypoglycemia."

Correct Answer is B

Explanation

Treating hypoglycemia promptly is crucial to prevent more severe symptoms or complications. Waiting until blood sugar drops very low can lead to a dangerous situation.

Incorrect choices:

a. Carrying a source of fast-acting carbohydrates, like glucose tablets or juice, helps quickly raise blood sugar levels during an episode of hypoglycemia.

c. Checking blood sugar levels when experiencing symptoms of hypoglycemia helps confirm if blood sugar is low and guides appropriate treatment.

d. Notifying the healthcare provider about frequent hypoglycemia episodes is important to adjust the diabetes management plan and prevent future occurrences.

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A nurse is providing education to a client newly diagnosed with type 1 diabetes who will be starting insulin therapy. Which statement by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with diabetes is scheduled for surgery and will be fasting before the procedure. How should the nurse instruct the client about monitoring and adjusting insulin therapy on the day of surgery?

Correct Answer is A

Explanation

A nurse is teaching a client with diabetes about hypoglycemia management. Which statement by the client indicates a need for further education?

Correct Answer is B

Explanation

Which individuals are candidates for insulin therapy?

A client with diabetes is asking about storing insulin. Which statement by the client indicates a need for further education about insulin storage and handling?

Which type of insulin is commonly used in insulin pumps?

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

A client is receiving insulin therapy for diabetes management. The nurse is providing education about the importance of proper injection techniques. Which statement by the client indicates a need for further education?