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 D

Explanation

A. Oral hypoglycemics are not appropriate for managing DKA, as immediate and effective control of blood glucose levels is required through IV insulin.
B. Dextrose solutions are not initially indicated, as they could elevate blood glucose further. Dextrose may be considered once blood glucose reaches a safer level (around 250 mg/dL).
C. Glucocorticoids can increase blood glucose levels, so they are contraindicated in DKA management.
D. 0.9% sodium chloride IV bolus is essential to address dehydration commonly seen in DKA due to osmotic diuresis and to restore blood volume.

A. "Your body has insulin resistance and decreased insulin secretion." B. "Your kidneys are not able to reabsorb water which leads to Type 2 diabetes mellitus." C. "An infection in your pancreas destroyed the cells that make insulin." D. "Your body is destroying the cells that secrete insulin."

Correct Answer is A

Explanation

A. Type 2 diabetes typically develops due to insulin resistance in the body’s cells and a decrease in insulin secretion by the pancreas. This is an accurate and informative response.
B. Kidney issues related to water reabsorption are not the cause of Type 2 diabetes. This response is inaccurate.
C. Infections in the pancreas are not a primary cause of Type 2 diabetes; rather, they are more likely associated with pancreatitis or other conditions.
D. Type 1 diabetes involves autoimmune destruction of insulin-producing cells, but Type 2 diabetes does not typically involve this autoimmune process.

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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

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

Correct Answer is D

Explanation

A client who has Type 2 diabetes mellitus asks the nurse, "why did I develop diabetes?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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