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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Drinking plenty of water with your wine will lessen its effects, especially hypoglycemia.": Drinking water does not mitigate the risk of hypoglycemia caused by alcohol's effects on gluconeogenesis.
B. "You may drink an occasional glass of wine with a meal.": Consuming alcohol with food reduces the risk of alcohol-induced hypoglycemia.
C. "Wine is loaded with carbohydrates, so you should never drink wine.": Wine typically has minimal carbohydrates; the issue is alcohol's effect on blood sugar levels, not its carbohydrate content.
D. "You may have no more than three glasses of wine a day.": This amount exceeds the recommendations for safe alcohol consumption and can worsen diabetes control.
Correct Answer is B
Explanation
A. Limit potassium-rich foods in the diet: Clients with Cushing's disease often have hypokalemia (low potassium) due to excessive aldosterone, so potassium-rich foods should not be limited.
B. Decrease sodium intake: Sodium restriction is necessary because hypernatremia and fluid retention are common in Cushing's disease due to increased cortisol levels.
C. Increase calorie intake: Clients with Cushing's disease often experience weight gain and should aim to maintain a balanced calorie intake.
D. Consume more calories from carbohydrates than protein: Clients with Cushing's disease should prioritize protein to counteract muscle wasting and avoid excessive carbohydrate intake, which can worsen hyperglycemia.
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