A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"I will discard the current vial of insulin after six doses have been withdrawn."

"I will return any unused vials of insulin to the pharmacy once they have been on the unit for 1 month."

"I can keep the current vial of insulin in use stored at room temperature."

"I will store unopened vials of insulin in the freezer."

Answer and Explanation

The Correct Answer is C

A. "I will discard the current vial of insulin after six doses have been withdrawn.": Insulin vials can be used for up to 28 days when stored at room temperature, not discarded based on the number of doses withdrawn.

B. "I will return any unused vials of insulin to the pharmacy once they have been on the unit for 1 month.": Unused insulin vials should be stored properly (refrigerated for unopened vials) and do not need to be returned unless there is an error or expired stock.

C. "I can keep the current vial of insulin in use stored at room temperature.": Once opened, insulin vials can be stored at room temperature (below 86°F or 30°C) for up to 28 days to prevent degradation.

D. "I will store unopened vials of insulin in the freezer.": Freezing insulin damages its effectiveness; unopened insulin should be refrigerated but never frozen.

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Correct Answer is C

Explanation

A. Gestational: Gestational diabetes occurs during pregnancy and does not involve ketones in blood and urine, which are indicative of diabetic ketoacidosis (DKA).

B. Prediabetes: Prediabetes involves mildly elevated glucose levels but does not present with ketones or DKA.

C. Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.

D. Type 2: Type 2 diabetes is less likely to present with DKA as insulin production is typically sufficient to prevent significant ketone formation.

A. Clammy B. Tachycardia C. Blurry Vision D. Dry Skin E. Warm/Hot Skin

Correct Answer is ["A","B","C"]

Explanation

A. Clammy: Hypoglycemia often causes diaphoresis, resulting in clammy skin.

B. Tachycardia: The release of epinephrine in response to hypoglycemia leads to tachycardia.

C. Blurry Vision: Neuroglycopenia from insufficient glucose to the brain can result in visual disturbances like blurry vision.

D. Dry Skin: Dry skin is more indicative of hyperglycemia or dehydration, not hypoglycemia.

E. Warm/Hot Skin: Warm or hot skin is associated with fever or hyperglycemia, not hypoglycemia.

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A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.) (Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

Which statements by the patient with a new diagnosis of diabetes show understanding of instruction related to leading a healthy life and preventing complications? Select all that apply

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