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."

Answer and Explanation

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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Correct Answer is ["A","B","C"]

Explanation

A. Clammy: Hypoglycemia often causes diaphoresis, resulting in clammy skin.

B. Tachycardia: The release of epinephrine in response to hypoglycemia leads to tachycardia.

C. Blurry Vision: Neuroglycopenia from insufficient glucose to the brain can result in visual disturbances like blurry vision.

D. Dry Skin: Dry skin is more indicative of hyperglycemia or dehydration, not hypoglycemia.

E. Warm/Hot Skin: Warm or hot skin is associated with fever or hyperglycemia, not hypoglycemia.

A. Hoarseness B. Airway patency C. Visual deficits D. Pain control

Correct Answer is B

Explanation

A. Hoarseness: Hoarseness may indicate laryngeal nerve injury, which is important to monitor, but it is not the most immediate concern.

B. Airway patency: Airway patency is the priority due to the risk of swelling, hematoma, or laryngeal spasm post-thyroidectomy, which can compromise breathing.

C. Visual deficits: Visual deficits are not typically a concern after thyroidectomy.

D. Pain control: While important, pain control is secondary to maintaining airway patency, which is life-threatening if compromised.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.) (Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?

Correct Answer is B

Explanation

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