The nurse is planning to discharge teaching for a client with diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse include in the discharge teaching?
Teach the client self-injection skills for daily subcutaneous administration.
Demonstrate how to select dose based on before meal blood sugar readings.
Explain to the family how to inject this medication for severe hypoglycemia.
Provide information on increasing medication dosage if ketoacidosis occurs.
The Correct Answer is A
Insulin glargine is a long-acting insulin that is given once daily at the same time every day via subcutaneous injection. Therefore, it is essential to teach the client self-injection skills for daily subcutaneous administration to ensure proper administration of insulin.
Option b is incorrect because insulin glargine is typically given at the same dose every day, not based on before meal blood sugar readings.
Option c is incorrect because insulin glargine is not used for the treatment of severe hypoglycemia, and it should not be administered by someone who is not trained to do so.
Option d is incorrect because ketoacidosis is a serious complication of diabetes mellitus that requires urgent medical atention, and increasing medication dosage is not appropriate for this condition.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A carbamazepine level of 8.4 mg/L is within the therapeutic range of 4-12 mg/L. The nurse should administer the evening dose of carbamazepine as prescribed. The nurse should continue to monitor the client’s carbamazepine levels and assess for any side effects of the medication.
Correct Answer is A
Explanation
The nurse should explain to the client's daughter that Rivastigmine is most effective when used early during Alzheimer's disease. Delaying the use of the medication until the symptoms are no longer manageable may result in the drug being less effective.
The nurse should emphasize the importance of following the healthcare provider's instructions for administering the medication to maximize its therapeutic effect. It is important to educate the client's daughter about the progressive nature of Alzheimer's disease and the need for ongoing monitoring and care.
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