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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Glulisine is a rapid-acting insulin that has an onset of action of 2 to 5 minutes and peaks in 30 to 90 minutes, making it the fastest among the choices. Some possible explanations for the other choices are:
Choice A. Aspart is also a rapid-acting insulin, but it has a slightly longer onset of action (10 to 20 minutes) and peak time (1 to 3 hours) than glulisine.
Choice B. Lispro is another rapid-acting insulin, but it has a similar onset of action (<15 minutes) and peak time (30 to 90 minutes) as glulisine, so it is not the fastest.
Choice C. Regular is a short-acting insulin that has a much longer onset of action (30 to 60 minutes) and peak time (2 to 4 hours) than glulisine, so it is not suitable for fast therapeutic effects.
Normal ranges for blood glucose levels are 70 to 130 mg/dL before meals and less than 180 mg/dL after meals.
Insulin doses are adjusted based on blood glucose monitoring, carbohydrate intake, physical activity, and other factors.
Correct Answer is C
Explanation
The nurse should question an order for bismuth salts for a client with an allergy to aspirin because bismuth salts contain salicylates, which are chemically related to aspirin and can cause allergic reactions.
Choice A is wrong because rheumatoid arthritis is not a contraindication for bismuth salts.
Bismuth salts may have anti-inflammatory effects that could benefit clients with rheumatoid arthritis.
Choice B is wrong because viral gastroenteritis is not a contraindication for bismuth salts.
Bismuth salts may help reduce diarrhea and inflammation caused by viral gastroenteritis.
Choice D is wrong because hypertension is not a contraindication for bismuth salts.
Bismuth salts do not affect blood pressure or interact with antihypertensive medications.
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