The nurse is preparing the client for discharge.

Exhibits

Which of the following statements indicate the client understands the discharge teaching?

Select the 3 client statements that indicate an understanding of the teaching.

A. Tongue blade. Placing a tongue blade in a client’s mouth during a seizure is contraindicated as it can cause injury, break teeth, or obstruct the airway. Nothing should be inserted into the client’s mouth during a seizure.
B. Suction machine. This is essential for clearing the airway of excessive secretions or vomit following a seizure, reducing the risk of aspiration. Maintaining airway patency is a priority in seizure management.
C. NG tube. This is not necessary for immediate seizure management. Nasogastric tubes are used for gastric decompression, feeding, or medication administration but do not play a direct role in seizure care.
D. Syringe containing lorazepam. While lorazepam is used to stop prolonged seizures, it is typically stored in a secured medication area rather than kept at the bedside. Emergency medications should be readily available but not pre-drawn or left unsecured.

A. "Anticipate that the insulin glargine will peak in 3 hours." Insulin glargine is a long-acting basal insulin with no pronounced peak. Instead, it provides a steady level of insulin over 24 hours, reducing the risk of hypoglycemia. Unlike short- or intermediate-acting insulins, it does not have a defined peak time.
B. "Draw up the insulin lispro and insulin glargine in separate syringes." Insulin glargine should never be mixed with other insulins in the same syringe, as it has a unique pH that can cause precipitation when combined. Insulin lispro, a rapid-acting insulin, can be mixed with some other insulins, but it must be drawn up separately from insulin glargine to maintain its stability and effectiveness.
C. "Expect insulin glargine to be cloudy." Insulin glargine is a clear solution. Cloudy insulins, such as NPH (neutral protamine Hagedorn), require gentle rolling before administration to mix the suspension evenly. If insulin glargine appears cloudy, it may be contaminated or compromised and should not be used.
D. "Take an extra dose of insulin lispro prior to aerobic exercise." Taking extra insulin lispro before exercise can increase the risk of hypoglycemia, as physical activity naturally lowers blood glucose levels. Clients with diabetes should monitor their blood glucose before, during, and after exercise and may need to adjust their carbohydrate intake rather than taking additional insulin.