The nurse is caring for a client with type 1 diabetes mellitus who has been taught the dosage of insulin.

Injections in the thigh

Injections in the upper arm

Injections in the buttocks

Injections in the abdomen

Answer and Explanation

The Correct Answer is D

Choice A reason:

Injections in the thigh are absorbed more slowly compared to the abdomen. The thigh is a common site for insulin injections, but it does not provide the fastest absorption rate. The absorption rate can be influenced by physical activity, as exercise can increase blood flow to the muscles, potentially speeding up insulin absorption. However, under normal conditions, the thigh is not the fastest site for insulin absorption.

Choice B reason:

Injections in the upper arm have a moderate absorption rate. The upper arm is another common site for insulin injections, but it is not the fastest. The absorption rate from the upper arm is generally faster than the thigh but slower than the abdomen. This site can be convenient for injections, especially for those who find it difficult to reach other areas.

Choice C reason:

Injections in the buttocks have the slowest absorption rate among the common injection sites. The buttocks are less commonly used for insulin injections due to the slower absorption rate and the difficulty some individuals may have in administering injections in this area. The high fat content in the buttocks slows down the absorption of insulin.

Choice D reason:

Injections in the abdomen provide the fastest absorption rate for insulin. The abdomen is the preferred site for many people with diabetes because it has a large surface area and is easy to access. The insulin injected into the abdominal area is absorbed quickly into the bloodstream, making it the most effective site for rapid-acting insulin. This is particularly important for managing blood sugar levels around meal times.

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Correct Answer is D

Explanation

Choice A Reason:

Decreasing activity is not recommended for managing peripheral venous disease. Regular physical activity, such as walking, helps improve blood circulation and can reduce symptoms. Inactivity can lead to worsening of the condition and increase the risk of complications.

Choice B Reason:

Massaging the legs frequently is not typically recommended for preventing fluid buildup in peripheral venous disease. Instead, compression therapy, such as wearing compression stockings, is more effective in managing symptoms and preventing fluid accumulation.

Choice C Reason:

Keeping the legs in a dependent position (hanging down) can worsen symptoms of peripheral venous disease. Elevating the legs above heart level helps reduce swelling and improve blood flow, which is beneficial for managing the condition.

Choice D Reason:

Inspecting the legs daily for changes in color, size, and temperature is crucial for managing peripheral venous disease. This practice helps in early detection of complications such as infections, ulcers, or worsening of the condition, allowing for timely medical intervention.

A. Serum potassium 5.0 mEq/L B. Serum calcium 8.0 mg/dL C. Serum sodium 125 mEq/L D. Blood urea nitrogen (BUN) 24 mg/dL

Correct Answer is C

Explanation

Choice A reason:

A serum potassium level of 5.0 mEq/L is within the normal range (3.5-5.0 mEq/L). While it is on the higher end of normal, it does not require immediate intervention in the context of SIADH. Potassium levels are crucial for cardiac and muscle function, but this value does not indicate a critical imbalance.

Choice B reason:

A serum calcium level of 8.0 mg/dL is slightly below the normal range (8.5-10.2 mg/dL). Mild hypocalcemia can occur in various conditions, but it is not typically associated with SIADH and does not require immediate intervention unless symptomatic or significantly lower.

Choice C reason:

A serum sodium level of 125 mEq/L indicates hyponatremia, which is a hallmark of SIADH. Hyponatremia can lead to severe neurological symptoms, including seizures, confusion, and coma, especially if it develops rapidly. Immediate intervention is required to correct the sodium imbalance and prevent serious complications.

Choice D reason:

A blood urea nitrogen (BUN) level of 24 mg/dL is within the upper normal range (7-20 mg/dL). While slightly elevated, it is not critically high and does not require immediate intervention in the context of SIADH. BUN levels can be influenced by various factors, including hydration status and renal function.

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The nurse is caring for a client with type 1 diabetes mellitus who has been taught the dosage of insulin.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

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