Nokea
The nurse is teaching a patient with diabetes who rides a bicycle to work every day about morning administration of insulin. Which of the following sites should the nurse tell the patient to use to administer the morning insulin?
- A. Arm
- B. Thigh
- C. Buttock
- D. Abdomen
Correct Answer: D
Rationale: Patients should be taught not to administer insulin into a site that will be exercised because exercise will increase the rate of absorption. The thigh, buttock, and arm are all exercised by riding a bicycle.
You may also like to solve these questions
To evaluate the effectiveness of treatment for a patient with type 2 diabetes who is scheduled for a follow-up visit in the clinic, which of the following tests will the nurse plan to schedule for the patient?
- A. Urine dipstick for glucose
- B. Oral glucose tolerance test
- C. Fasting blood glucose level
- D. Glycosylated hemoglobin level
Correct Answer: D
Rationale: The glycosylated hemoglobin (Hb A1C) test shows the overall control of glucose over 90-120 days. A fasting blood level indicates only the glucose level at one time. Urine glucose testing is not an accurate reflection of blood glucose level and does not reflect the glucose over a prolonged time. Oral glucose tolerance testing is done to diagnose diabetes but is not used for monitoring glucose control once diabetes has been diagnosed.
Which of the following patient actions indicate a good understanding of the nurse's teaching about the use of an insulin pump?
- A. The patient changes the site for the insertion site every week.
- B. The patient programs the pump to deliver an insulin bolus after eating.
- C. The patient takes the pump off at bedtime and starts it again each morning.
- D. The patient states that diet will be less flexible when using the insulin pump.
Correct Answer: B
Rationale: In addition to the basal rate of insulin infusion, the patient will adjust the pump to administer a bolus after each meal, with the dosage depending on the oral intake. The insertion site should be changed every 2 or 3 days. There is more flexibility in diet and exercise when an insulin pump is used. The pump will deliver a basal insulin rate 24 hours a day.
Which of the following actions is most important for the nurse to take in order to assist a patient with diabetes to engage in moderate daily exercise?
- A. Remind the patient that exercise will improve self-esteem.
- B. Determine what type of exercise activities the patient enjoys.
- C. Give the patient a list of activities that are moderate in intensity.
- D. Teach the patient about the effects of exercise on glucose level.
Correct Answer: B
Rationale: Since consistency with exercise is important, assessment for the types of exercise that the patient finds enjoyable is the most important action by the nurse in ensuring adherence to an exercise program. The other actions will also be implemented but are not the most important in improving compliance.
The nurse administers intramuscular glucagon to a patient who is unresponsive for treatment of hypoglycemia. Which of the following actions should the nurse take after the patient regains consciousness?
- A. Assess the patient for symptoms of hyperglycemia.
- B. Give the patient a snack of crackers and peanut butter.
- C. Have the patient drink a glass of orange juice or nonfat milk.
- D. Administer a continuous infusion of 5% dextrose for 24 hours.
Correct Answer: B
Rationale: Rebound hypoglycemia can occur after glucagon administration, but having a meal containing complex carbohydrates plus protein and fat will help prevent hypoglycemia. A starch snack is recommended. Orange juice and nonfat milk will elevate blood sugar rapidly, but the cheese and crackers will stabilize blood sugar. Administration of glucose intravenously might be used in patients who were unable to take in nutrition orally. The patient should be assessed for symptoms of hypoglycemia after glucagon administration.
A patient with type 2 diabetes that is well-controlled with metformin develops an allergic rash to an antibiotic and the health care provider prescribes prednisone. Which of the following information should the nurse anticipate while the patient is taking the prednisone?
- A. A diet higher in calories
- B. Administration of insulin
- C. Development of acute hypoglycemia
- D. Appearance of a rash caused by metformin-prednisone interactions
Correct Answer: B
Rationale: Glucose levels increase when patients are taking corticosteroids, and insulin may be required to control blood glucose. Hypoglycemia is not an adverse effect of prednisone. Rashes are not an adverse effect caused by taking metformin and prednisone simultaneously. The patient may have an increased appetite when taking prednisone but will not need a diet that is higher in calories.