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Insulin Dosing

A. Basal-Bolus Regimen: Consists of long-acting insulin for basal coverage and rapid-acting or short-acting insulin before meals for prandial coverage.

B. Sliding Scale Insulin: Used for patients with variable glucose levels; the insulin dose is adjusted based on the current blood glucose level.

Questions on Insulin Dosing

Correct Answer is D

Explanation

<p>To regulate blood glucose levels. Insulin therapy is used to help individuals with diabetes regulate their blood glucose levels by supplementing or replacing the insulin their body is not producing or using effectively.<br /> </p>

Correct Answer is A

Explanation

<p>Pre-diabetes indicates higher-than-normal blood glucose levels, but insulin therapy is not usually required at this stage.</p>

Correct Answer is C

Explanation

<p>Intramuscular administration is not common for insulin therapy because absorption may be unpredictable and could lead to variability in blood glucose control.</p>

Correct Answer is D

Explanation

<p>The correct answer is d. To replace or supplement insulin in the body. Insulin therapy aims to provide the body with the insulin it needs when the natural production is insufficient.</p>

Correct Answer is C

Explanation

<p>Insulin therapy may be considered for gestational diabetes if blood glucose levels are not well-controlled with diet and exercise, but it is not the first-line treatment.</p>

Correct Answer is A

Explanation

<p>Long-acting insulin has a slow and steady onset of action over a longer period compared to rapid-acting insulin.</p>

Correct Answer is D

Explanation

<p>Long-acting insulin provides a steady baseline level of insulin, mimicking the body&#39;s basal insulin secretion.</p>

Correct Answer is A

Explanation

<p>Long-acting insulin&#39;s slow onset and steady release make it less suitable for insulin pump therapy.</p>

Correct Answer is C

Explanation

<p>Long-acting insulin is clear in appearance.</p>

Correct Answer is A

Explanation

<p>Long-acting insulin provides a steady baseline and is not intended for mealtime coverage.</p>

Correct Answer is B

Explanation

<p>Inhalation is not a typical route for insulin administration. It is used for specific types of medications, not insulin.</p>

Correct Answer is B

Explanation

<p>Pressing the needle against the skin and releasing quickly may result in the medication leaking out of the injection site.</p>

Correct Answer is B

Explanation

<p>The buttock is not commonly used for insulin injection due to difficulties in self-administration and limited visibility.</p>

Correct Answer is B

Explanation

<p>Storing insulin in a hot environment can lead to degradation and loss of effectiveness.</p>

Correct Answer is A

Explanation

<p>Regular insulin is not commonly used for injection in routine insulin therapy.</p>

Correct Answer is D

Explanation

<p>Basal insulin is typically administered once or twice daily to mimic the body&#39;s basal insulin secretion and maintain stable blood glucose levels between meals and overnight.</p>

Correct Answer is C

Explanation

<p>Mealtime insulin is administered before or after each meal, not only for the evening meal.</p>

Correct Answer is B

Explanation

<p>Insulin absorption rates are similar across different anatomical sites, so there is no &quot;fastest&quot; absorption site.</p>

Correct Answer is C

Explanation

<p>Glucagon is not typically administered intravenously but rather through subcutaneous or intramuscular injection for rapid action.</p>

Correct Answer is A

Explanation

<p>Injecting 1 unit of insulin for every 10 grams of carbohydrates would result in insufficient insulin dosing and potentially high blood glucose levels.</p>

Correct Answer is C

Explanation

<p>Skipping meals can lead to unstable blood glucose levels and is not a recommended approach to managing insulin therapy.</p>

Correct Answer is B

Explanation

<p>Decreasing insulin doses may worsen hyperglycemia and is not appropriate without healthcare provider guidance.</p>

Correct Answer is C

Explanation

<p>The described approach involves using insulin types inappropriately for their intended purposes.</p>

Correct Answer is C

Explanation

<p>Administering extra insulin doses without monitoring blood glucose levels can lead to unpredictable outcomes and potential harm.</p>

Correct Answer is A

Explanation

<p>Stopping insulin therapy abruptly can lead to hyperglycemia and potential complications. Insulin adjustments should be made under healthcare provider supervision.</p>

Correct Answer is D

Explanation

<p>Insulin should be protected from extreme temperatures, including direct sunlight. Freezing or exposing insulin to high temperatures can alter its effectiveness.</p>

<p>Placing insulin pens in the freezer is not recommended as it can alter the medication&#39;s properties and affect its effectiveness.</p>

<p>Freezing insulin is not recommended, as it can alter the medication&#39;s properties and impact its efficacy.</p>

<p>Storing insulin in the glove compartment of a car during sightseeing can expose it to temperature fluctuations and extreme heat, affecting its potency.</p>

<p>Leaving insulin in a parked car, even with cracked windows, exposes it to temperature fluctuations and extreme heat, which can impact its effectiveness.</p>

<p>Notifying the healthcare provider about frequent hypoglycemia episodes is important to adjust the diabetes management plan and prevent future occurrences.</p>

<p>Offering a source of fast-acting carbohydrates. Fast-acting carbohydrates, such as glucose tablets or juice, can quickly raise blood sugar levels and alleviate hypoglycemic symptoms.<br /> </p>

<p>Monitoring blood sugar levels every 4 hours is a routine practice but does not address the immediate need to treat hypoglycemia.</p>

<p>Encouraging the client to consume a high-protein meal is not feasible for an unconscious client.</p>

<p>Rubbing the gel between the palms and inhaling deeply will not have a significant impact on blood sugar levels.</p>

<p>Eating a meal or snack within 15 minutes of taking rapid-acting insulin helps prevent hypoglycemia and ensures that the insulin is working when glucose levels rise after eating.</p>

<p>Rotating injection sites helps prevent lipohypertrophy and ensures consistent absorption.</p>

<p>Gently rolling the insulin vial between palms helps mix the insulin if it appears cloudy, but it should not be done with clear insulin.</p>

<p>Following up with a healthcare provider about frequent episodes of hypoglycemia is important to adjust insulin therapy and prevent future episodes.</p>

<p>Testing blood sugar regularly, regardless of symptoms, helps monitor and manage glucose levels effectively.</p>

<p>Insulin therapy may be used temporarily, but it can also be a long-term treatment option for type 2 diabetes, especially if other treatments are not effective.</p>

<p>While monitoring blood sugar levels before and after meals is important for diabetes management, it is not the sole method for determining insulin dosing. Healthcare provider guidance is essential.</p>

<p>While monitoring blood sugar levels before and after meals is important for diabetes management, it is not the sole method for determining insulin dosing. Healthcare provider guidance is essential.</p>

<p>Rotating injection sites within the same area is a recommended practice to prevent skin changes and complications associated with repeated injections. This statement is correct.</p>

<p>Pinching the skin before inserting the needle can help ensure subcutaneous injection and prevent injecting into muscle. This statement is correct.</p>

<p>Prandial insulin is indeed a type of rapid-acting insulin used to cover meals and control post-meal blood sugar levels. This statement is correct.</p>

<p>Insulin vials should be kept refrigerated to maintain their potency, but they can be kept at room temperature for up to 28 days once in use to prevent discomfort from cold injections.</p>

<p>Administering long-acting insulin right after a meal would not match the onset and duration of action needed for glucose control.</p>

<p>Injecting Lantus at the same time each day helps maintain consistent blood sugar levels and optimize its effectiveness.</p>

<p>Using a 45-degree angle for subcutaneous injections is a recommended technique for insulin administration to ensure proper subcutaneous delivery.</p>

<p>Injecting insulin lispro into the subcutaneous tissue is the correct route of administration for this rapid-acting insulin.</p>
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