A nurse is caring for a patient who is receiving a basal/bolus insulin for type 1 diabetes. The nurse understands basal/bolus
- A. Allows for flexibility for mealtime and lifestyle.
- B. Allows for no flexibility for mealtime and lifestyle.
- C. Allows for flexibility for lifestyle.
- D. Allows for flexibility for mealtime.
Correct Answer: A
Rationale: Basal/bolus insulin regimens mimic natural insulin release, providing flexibility for both mealtime and lifestyle adjustments.
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The term basal refers to the minimum requirements when the body is
- A. Resting.
- B. Active.
- C. Asleep.
- D. Eating.
Correct Answer: A
Rationale: Basal insulin meets the body's minimum insulin needs during resting states, maintaining stable blood glucose levels.
Which of the following sites provides the best and most consistent absorption of insulin?
- A. Upper back
- B. Back of upper arms
- C. Deltoid
- D. Dorsal gluteal
- E. Abdomen
Correct Answer: E
Rationale: The abdomen provides the fastest and most consistent absorption for insulin due to its subcutaneous fat and blood supply.
What is the maximum volume of medication that can be instilled into the deltoid muscle of the average-size adult?
- A. 3 mL
- B. 2 mL
- C. 1 mL
- D. 0.5 mL
- E. 0.1 mL
Correct Answer: C
Rationale: The deltoid muscle can safely accommodate up to 1 mL in average-sized adults to avoid discomfort or tissue damage.
Which of the following drugs requires a second and third nurse to verify the dosage?
- A. Insulin
- B. Epinephrine
- C. Heparin
- D. Purified protein derivative
Correct Answer: A,C
Rationale: Insulin and heparin are high-alert medications requiring double or triple verification to prevent dosage errors.
What angle of insertion should be used for intradermal injections?
- A. 15 degrees
- B. 30 degrees
- C. 45 degrees
- D. 90 degrees
Correct Answer: A
Rationale: Intradermal injections require a shallow angle (10?15 degrees) to place the medication just under the skin surface.
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