The home care nurse is caring for an older adult client who has type 1 diabetes. The client has visual impairment and cannot read the numbers on the syringe when preparing insulin for administration nor afford the cost of prefilled auto syringes.
What strategy might the nurse use to help this client comply with insulin needs between visits?
Prepare a week’s supply of syringes and refrigerate.
Ask a neighbor to come over every day to prepare the medication.
Have the client use a magnifying glass.
Change the client to oral antidiabetics.
The Correct Answer is C
This strategy can help the client read the numbers on the syringe and prepare the correct dose of insulin. A magnifying glass is also an affordable and accessible tool for the client.
Choice A is wrong because preparing a week’s supply of syringes and refrigerating them can affect the potency and sterility of insulin.
It can also increase the risk of errors or confusion.
Choice B is wrong because asking a neighbor to come over every day to prepare the medication can compromise the client’s privacy and independence.
It can also be unreliable and inconvenient for both parties.
Choice D is wrong because changing the client to oral antidiabetics is not possible for type 1 diabetes.
People with type 1 diabetes need to take insulin for life because their pancreas cannot make insulin.
Oral antidiabetics are only effective for people with type 2 diabetes who have functioning pancreatic beta cells
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Related Questions
Correct Answer is D
Explanation
Glargine is a long-acting insulin that can provide a steady level of insulin for up to 24 hours. This would be suitable for a client who does not want to administer insulin on the plane, as they would only need one injection per day.
Choice A. Aspart is wrong because aspart is a rapid-acting insulin that has a peak effect within 1 to 3 hours and lasts for 3 to 5 hours.
This would require frequent injections and monitoring of blood glucose levels.
Choice B. Lispro is wrong because lispro is also a rapid-acting insulin that has a similar onset and duration as aspart.
It would not provide adequate coverage for a long international flight.
Choice C. Glulisine is wrong because glulisine is another rapid-acting insulin that has an onset of 15 minutes and a duration of 2 to 4 hours.
It would also require multiple injections and frequent blood glucose checks.
Normal ranges for blood glucose levels are 70 to 130 mg/dL before meals and less than 180 mg/dL after meals.
Correct Answer is A
Explanation
The nurse should ask this question because the client is taking a chemical stimulant laxative, which can cause dehydration and electrolyte imbalance, especially in combination with medications for heart failure and osteoarthritis that may also affect fluid and electrolyte balance. The nurse should assess the client’s hydration status and risk of hypovolemia or hypotension.
Choice B. Timing of medication administration is wrong because it is not the priority question in this situation.
The nurse should ask this question later to determine if the client is taking the medications as prescribed and if there are any drug interactions or adverse effects.
Choice C. Previous effectiveness of laxatives is wrong because it is not relevant to the client’s current condition.
The nurse should ask this question later to evaluate the client’s bowel habits and history of constipation.
Choice D. The amount of fiber intake is wrong because it is not the priority question in this situation.
The nurse should ask this question later to educate the client about dietary measures to prevent constipation and promote bowel health.
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