A nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching?
"I should inject by insulin detemir 30 min before a meal to lower my blood sugar."
"If my blood sugar is high. I can mix a dose of regular insulin with my insulin detemir."
"I can inject my insulin detemir in the evening before bedtime."
"I don't have to worry about hypoglycemia while taking insulin detemir."
The Correct Answer is C
A. "I should inject my insulin detemir 30 min before a meal to lower my blood sugar.": Insulin detemir is a long-acting insulin that provides basal glucose control and is not meal-dependent.
B. "If my blood sugar is high, I can mix a dose of regular insulin with my insulin detemir.": Insulin detemir should not be mixed with any other insulin in the same syringe.
C. "I can inject my insulin detemir in the evening before bedtime.": Insulin detemir is commonly administered once daily, and evening administration helps maintain stable glucose levels overnight.
D. "I don't have to worry about hypoglycemia while taking insulin detemir.": While the risk of hypoglycemia is lower with detemir than with some other insulins, it is still possible, particularly if meals are missed or doses are mismanaged.
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Related Questions
Correct Answer is D
Explanation
A. Blood glucose level below 40 mg/dL: Diabetic ketoacidosis (DKA) is associated with hyperglycemia (blood glucose typically above 250 mg/dL), not hypoglycemia.
B. Malignant hypertension: DKA does not cause malignant hypertension; fluid and electrolyte imbalances are more common.
C. Cheyne-Stokes breathing: Cheyne-Stokes breathing is associated with neurologic or cardiac conditions, not DKA.
D. Acetone odor to breath: This is a hallmark symptom of ketoacidosis, resulting from ketone body production due to fat metabolism.
Correct Answer is C
Explanation
A. "I should inject my insulin detemir 30 min before a meal to lower my blood sugar.": Insulin detemir is a long-acting insulin that provides basal glucose control and is not meal-dependent.
B. "If my blood sugar is high, I can mix a dose of regular insulin with my insulin detemir.": Insulin detemir should not be mixed with any other insulin in the same syringe.
C. "I can inject my insulin detemir in the evening before bedtime.": Insulin detemir is commonly administered once daily, and evening administration helps maintain stable glucose levels overnight.
D. "I don't have to worry about hypoglycemia while taking insulin detemir.": While the risk of hypoglycemia is lower with detemir than with some other insulins, it is still possible, particularly if meals are missed or doses are mismanaged.
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