A nurse is teaching a client with diabetes about insulin therapy. Which statement by the client indicates a need for further education?
"I should always draw up the short-acting insulin first before the long-acting insulin."
"I can reuse my insulin syringe for up to a week."
"I need to rotate my injection sites within the same anatomical area for each dose."
"It's important to keep my insulin vials refrigerated at all times."
The Correct Answer is B
Insulin syringes should not be reused due to the risk of contamination, infection, and inaccurate dosing.
Incorrect choices:
a. Drawing up short-acting insulin before long-acting insulin is a recommended practice to prevent contamination of the long-acting insulin vial.
c. Rotating injection sites within the same anatomical area helps prevent lipohypertrophy and ensures consistent absorption.
d. Insulin vials should be kept refrigerated to maintain their potency, but they can be kept at room temperature for up to 28 days once in use to prevent discomfort from cold injections.
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Related Questions
Correct Answer is D
Explanation
Insulin should be protected from extreme temperatures, including direct sunlight. Freezing or exposing insulin to high temperatures can alter its effectiveness.
Incorrect choices:
a. Storing insulin in the refrigerator is the correct way to maintain its effectiveness.
b. Gently rolling the insulin vial before use helps mix the solution but does not pertain to storage.
c. Checking the expiration date before using insulin is an important step to ensure its safety and effectiveness.
Correct Answer is D
Explanation
Basal insulin is typically administered once or twice daily to mimic the body's basal insulin secretion and maintain stable blood glucose levels between meals and overnight.
Incorrect choices:
a. Basal insulin is not administered before meals; it is intended to regulate fasting glucose levels.
b. Basal insulin does not cover carbohydrates consumed in meals; it targets basal glucose levels.
c. Rapid-acting insulin is not synonymous with basal insulin; they serve different purposes in insulin therapy.
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