The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

Rotate sites when injecting insulin glargine.

There is no peak of action for this insulin, which reduces the risk of hypoglycemia.

Food should be consumed within 30 minutes after injection.

Check for microalbuminuria if blood glucose levels are above 280 mg/dL.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale

Rotating injection sites when administering insulin glargine is important to prevent lipodystrophy, a condition that can affect insulin absorption.

Choice B rationale

Insulin glargine has no peak of action, which reduces the risk of hypoglycemia. This is a key feature of long-acting insulins like glargine.

Choice C rationale

Food does not need to be consumed within 30 minutes after injection of insulin glargine. This is a characteristic of rapid-acting insulins, not long-acting insulins like glargine.

Choice D rationale

Checking for microalbuminuria if blood glucose levels are above 280 mg/dL is a good practice. Microalbuminuria can be an early sign of kidney damage, which can occur with poorly controlled diabetes.

Nursing Test Bank

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Correct Answer is A

Explanation

Choice A rationale

When a patient is informed about a serious diagnosis like breast cancer and the need for a mastectomy, it is common for them to experience a range of emotions, including sadness, fear, and anxiety. As a nurse, providing emotional support and creating a safe space for the patient to express their feelings is crucial. Offering to be there for the patient if they want to talk acknowledges their emotional distress and provides comfort.

Choice B rationale

Asking the patient why they are upset may come across as insensitive or dismissive. The patient has just received a life-changing diagnosis, and their emotional reaction is completely normal and expected. It’s important to provide support and empathy rather than questioning their feelings.

Choice C rationale

Telling the patient that everything will be alright and there is no need to cry may seem comforting, but it can actually invalidate the patient’s feelings. It’s important to acknowledge the patient’s emotions and allow them to express their feelings without judgment.

Choice D rationale

Telling the patient that they will recover may be seen as providing false reassurance. While it’s important to maintain hope, it’s also crucial to be honest and realistic with the patient about their diagnosis and treatment.

A. 135 mg/dL of glucose. B. 140 mg/dL of glucose. C. 126 mg/dL of glucose. D. 145 mg/dL of glucose.

Correct Answer is C

Explanation

Choice A rationale

A fasting blood glucose level of 135 mg/dL is above the diagnostic threshold for diabetes. However, it is not the exact threshold value.

Choice B rationale

A fasting blood glucose level of 140 mg/dL is significantly above the diagnostic threshold for diabetes.

Choice C rationale

A fasting blood glucose level of 126 mg/dL or higher on two separate tests indicates diabetes.

Choice D rationale

A fasting blood glucose level of 145 mg/dL is significantly above the diagnostic threshold for diabetes.

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The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician has just informed a patient that they have breast cancer and will require a mastectomy. The nurse finds that the patient is crying. Which response by the nurse is most appropriate?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

The nurse is aware that the diagnostic level of a fasting blood glucose for a client with diabetes is:

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

To prevent lipodystrophy in a client receiving insulin therapy, what should the nurse instruct the client to do?

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