Nokea
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.
You may also like to solve these questions
The nurse is assessing a patient who is experiencing the onset of symptoms of type 1 diabetes. Which of the following questions is best for the nurse to ask?
- A. Have you lost any weight lately?
- B. How long have you felt anorexic?
- C. Is your urine unusually dark coloured?
- D. Do you crave fluids containing sugar?
Correct Answer: A
Rationale: Weight loss occurs because the body is no longer able to absorb glucose and starts to break down protein and fat for energy. The patient is thirsty but does not necessarily crave sugar-containing fluids. Increased appetite is a classic symptom of type 1 diabetes. With the classic symptom of polyuria, urine will be very dilute.
Which of the following patient teaching information is most important for the nurse to communicate to a patient with gestational diabetes?
- A. Delivery will not affect blood glucose levels.
- B. Exercise should be avoided in the last month of pregnancy.
- C. Monitoring of blood glucose can stop as soon as the baby is delivered.
- D. A postpartum OGTT will be done at 2 months.
Correct Answer: D
Rationale: Women should be screened postpartum to determine their glucose status. The 2008 CDA guidelines recommend a 75-g oral glucose tolerance test (OGTT) be done between 6 weeks and 6 months postpartum. Delivery may affect blood glucose levels. Exercise is not to be avoided. Monitoring of blood glucose will continue into the postpartum period until levels are within normal limits.
The nurse is teaching about meal coverage to a patient with diabetes who has just started on intensive insulin therapy. Which of the following types of insulin should the nurse discuss with the patient?
- A. Glargine
- B. Lispro
- C. Detemir
- D. NPH
Correct Answer: B
Rationale: Rapid- or short-acting insulin is used for mealtime coverage for patients receiving intensive insulin therapy. NPH, glargine, or detemir will be used as the basal insulin.
The home health nurse is providing teaching to a patient and family about how to use glargine and regular insulin safely. Which of the following actions by the patient indicates that the teaching has been successful?
- A. The patient administers the glargine 30-45 minutes before eating each meal.
- B. The patient's family fills the syringes weekly and stores them in the refrigerator.
- C. The patient draws up the regular insulin and then the glargine in the same syringe.
- D. The patient disposes of the open vials of glargine and regular insulin after 4 weeks.
Correct Answer: D
Rationale: Insulin can be stored at room temperature for 4 weeks. Glargine should not be mixed with other insulins or prefilled and stored. Short-acting regular insulin is administered before meals, while glargine is given once daily.
Which of the following hormones are considered as counter-regulatory hormones? (Select all that apply.)
- A. Glucagon
- B. Insulin
- C. Epinephrine
- D. Growth hormone
- E. Cortisol
Correct Answer: A,C,D,E
Rationale: Other hormones (glucagon, epinephrine, growth hormone, and cortisol) work to oppose the effects of insulin and are often referred to as counter-regulatory hormones. Insulin is not a counter-regulatory hormone.