A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include?

"Pull back on the plunger after injecting the insulin."

"Store the current bottle of insulin at room temperature."

"Massage the injection site after removing the needle."

"Use each syringe up to six times."

Answer and Explanation

The Correct Answer is B

A. Pulling back on the plunger after injecting insulin is incorrect and could cause the medication to leak out, leading to inadequate dosing.
B. Storing the current bottle of insulin at room temperature (if not in use) helps maintain the insulin's effectiveness and reduces discomfort during injections.
C. Massaging the injection site is not recommended as it can cause the insulin to absorb too quickly and lead to variable blood sugar levels.
D. Each syringe should only be used once to prevent contamination and ensure accurate dosing.

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Correct Answer is A

Explanation

A. Respiratory acidosis occurs due to hypoventilation, which causes an accumulation of carbon dioxide in the blood, leading to increased acidity. Shallow respirations at a rate of 8 breaths per minute indicate hypoventilation, putting the client at risk for respiratory acidosis.
B. Metabolic acidosis is typically caused by metabolic issues such as kidney failure or diabetic ketoacidosis, not by respiratory changes.
C. Respiratory alkalosis results from hyperventilation, which leads to a decrease in carbon dioxide levels, causing alkalinity in the blood.
D. Metabolic alkalosis is caused by factors such as prolonged vomiting or diuretic use, not by hypoventilation.

A. Glycosylated hemoglobin A1C B. Urine dipstick for glucose. C. Fasting blood glucose D. Oral glucose tolerance

Correct Answer is A

Explanation

A. Glycosylated hemoglobin A1C provides an average of the patient's blood glucose levels over the past 2-3 months and is the standard test used to evaluate long-term glycemic control in patients with diabetes.
B. A urine dipstick for glucose measures glucose in the urine but does not provide an accurate assessment of overall blood glucose control or effectiveness of treatment.
C. Fasting blood glucose is useful for assessing current blood sugar levels but does not reflect long-term management or control.
D. An oral glucose tolerance test is typically used for diagnosing diabetes rather than for ongoing monitoring of treatment effectiveness.

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A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

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