When evaluating a client how to administer insulin, which action indicates that additional teaching is necessary?

Checks blood sugar then eats breakfast prior to injecting insulin.

Rotates sites from arms, legs, and abdomen.

Ensures the use of insulin syringe with units.

Activates the safety lock on the syringe before disposing in a sharps container.

Answer and Explanation

The Correct Answer is A

Choice A Reason: Checking blood sugar then eating breakfast prior to injecting insulin indicates that additional teaching is necessary, as it may cause hyperglycemia or hypoglycemia depending on the type and timing of insulin. The client should inject insulin before eating breakfast according to their blood sugar level and carbohydrate intake.

Choice B Reason: Rotating sites from arms, legs, and abdomen indicates that no additional teaching is necessary, as it helps to prevent lipodystrophy and ensure consistent absorption of insulin.

Choice C Reason: Ensuring the use of insulin syringe with units indicates that no additional teaching is necessary, as it helps to prevent dosing errors and ensure accurate administration of insulin.

Choice D Reason: Activating the safety lock on the syringe before disposing in a sharps container indicates that no additional teaching is necessary, as it helps to prevent needlestick injuries and infection transmission.

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Correct Answer is ["A","B","D"]

Explanation

Choice A Reason: Weight gain is a common finding in hypothyroidism, as the decreased thyroid hormone level causes the metabolism to slow down and the body to store more fat.

Choice B Reason: Constipation is a common finding in hypothyroidism, as the decreased thyroid hormone level causes the gastrointestinal motility to decrease and the stools to become hard and dry.

Choice C Reason: Rapid pulse is not a common finding in hypothyroidism, but it may indicate other conditions such as hyperthyroidism or anxiety.

Choice D Reason: Decreased energy is a common finding in hypothyroidism, as the decreased thyroid hormone level causes the body to feel tired and sluggish.

Choice E Reason: Hypertension is not a common finding in hypothyroidism, but it may indicate other conditions such as renal disease or cardiovascular disease.

A. Administer antispasmodic medications. B. Notify the provider. C. Offer oral fluids. D. Determine the patency of the tubing.

Correct Answer is D

Explanation

Choice A Reason: Administering antispasmodic medications is not the first action that the nurse should perform, as it may not resolve the problem of urinary output or irrigation flow.

Choice B Reason: Notifying the provider is not the first action that the nurse should perform, as it may delay the intervention and worsen the outcome.

Choice C Reason: Offering oral fluids is not the first action that the nurse should perform, as it may increase fluid overload or bladder pressure.

Choice D Reason: Determining the patency of the tubing is the first action that the nurse should perform, as it may identify and correct any obstruction or kinking that prevents urinary output or irrigation flow.

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When evaluating a client how to administer insulin, which action indicates that additional teaching is necessary?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with hypothyroidism. What information should the nurse obtain when conducting a focused assessment? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

Correct Answer is D

Explanation

The nurse is caring for a client after a total thyroidectomy. The nurse's priority should be to:

What should the nurse do first when a client with a head injury begins to have clear drainage from the nose?

A nurse reinforces instructions to a client with hypothyroidism about the dosage, method of administration, and side effects of levothyroxine sodium. Which statement by the client indicates an understanding of the nurse's instructions?

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A client's stool is clay in color. What additional information should the nurse obtain from this client? Select all that apply.

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