A nurse is teaching a client about self-administering insulin. The client asks, "Where is the best site to inject insulin?" Which response is correct?

"Inject insulin into the same site each time to reduce discomfort."

"Rotate injection sites within the same anatomical area for consistent absorption."

"Always inject insulin into your abdomen; it's the most effective site."

"Inject insulin into your thigh for the fastest absorption."

Answer and Explanation

The Correct Answer is B

Rotating injection sites within the same anatomical area (e.g., abdomen, thigh) helps prevent lipohypertrophy and ensures consistent insulin absorption.

Incorrect choices:

a. Injecting into the same site each time can lead to lipohypertrophy and uneven insulin absorption.

c. While the abdomen is a common injection site, rotating within the same area is essential to prevent tissue damage.

d. Insulin absorption rates are similar across different anatomical sites, so there is no "fastest" absorption site.

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Correct Answer is C

Explanation

Frequent hypoglycemic episodes indicate the need for a possible adjustment in insulin therapy. The nurse should work with the healthcare provider to modify the insulin regimen to better match the client's needs.

Incorrect choices:

a. Increasing the insulin dose without healthcare provider guidance may lead to further hypoglycemia and potential harm.

b. Consuming more carbohydrates may provide temporary relief from hypoglycemia but does not address the underlying insulin dosing issue.

d. Skipping meals can lead to unstable blood glucose levels and is not a recommended approach to managing insulin therapy.

A. Administer rapid-acting insulin after meals to control postprandial glucose levels. B. Increase the client's basal insulin dose to address fasting hyperglycemia. C. Advise the client to skip meals to prevent further elevations in blood glucose. D. Decrease the client's insulin doses to avoid hypoglycemia.

Correct Answer is B

Explanation

Fasting hyperglycemia suggests insufficient basal insulin coverage. Adjusting the basal insulin dose can help stabilize fasting blood glucose levels.

Incorrect choices:

a. Administering rapid-acting insulin after meals targets postprandial glucose levels, not fasting hyperglycemia.

c. Skipping meals is not a recommended approach and may lead to further blood glucose imbalances.

d. Decreasing insulin doses may worsen hyperglycemia and is not appropriate without healthcare provider guidance.

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A nurse is teaching a client about self-administering insulin. The client asks, "Where is the best site to inject insulin?" Which response is correct?

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Naxlex Comprehensive Predictor Exams

A client with type 2 diabetes has been on insulin therapy for several months. The client reports frequent episodes of hypoglycemia. Which action by the nurse is appropriate for monitoring and adjusting insulin therapy?

Correct Answer is C

Explanation

A client on insulin therapy has been consistently experiencing elevated fasting blood glucose levels. What should the nurse do to monitor and adjust the client's insulin regimen?

Correct Answer is B

Explanation

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?

A client with type 1 diabetes is experiencing variability in blood glucose levels throughout the day. What should the nurse teach the client about monitoring and adjusting insulin therapy?

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?

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When drawing up insulin from two different vials (e.g., rapid-acting and intermediate-acting insulin), which type of insulin should be drawn up first?

A client with type 2 diabetes is prescribed insulin therapy. Which of the following statements is correct regarding basal insulin dosing?

A client is prescribed insulin therapy and is experiencing hypoglycemia. The nurse prepares to administer glucagon. How should the nurse explain the dosing of glucagon?

What is the primary purpose of insulin therapy?