Practice Question
The nurse educates a client about the administration of Insulin for control of diabetes mellitus type 1. What statements made by the client indicate that the nurse needs to reinforce the education provided? Select all that apply.
Answer Choices:
Correct Answer:
“When I am exercising a lot, I should Increase my dose of Insulin.”
Rationale:
1️⃣ “When I am exercising a lot, I should increase my dose of insulin.” (Needs Reinforcement)
🔷 Exercise decreases blood glucose levels naturally by increasing glucose uptake into the muscles, so increasing insulin during exercise may lead to severe hypoglycemia.
🔷 The correct teaching is that the client should monitor blood glucose before, during, and after exercise and may need to reduce insulin dose or increase carbohydrate intake if glucose trends downward.
🔷 Type 1 diabetic patients are advised to avoid giving insulin in exercising limbs, as increased blood flow accelerates insulin absorption, risking hypoglycemia.
🔷 Carbohydrate snacks before or after prolonged exercise are often recommended to maintain stable glucose levels.
🔷 Adjusting insulin independently without guidance can be dangerous; changes should be made under healthcare provider supervision.
2️⃣ “If my insulin is unopened, I can store it at room temperature.” (Needs Reinforcement)
🔷 Unopened insulin vials or pens should be stored in the refrigerator (2–8°C/36–46°F) to maintain potency until the expiration date.
🔷 Once opened, most insulin vials or pens can be stored at room temperature (15–30°C/59–86°F) for about 28 days, depending on the manufacturer.
🔷 Keeping unopened insulin at room temperature for prolonged periods can lead to decreased effectiveness and altered blood glucose control.
🔷 Clients should be educated to check the manufacturer’s storage recommendations to ensure proper insulin efficacy.
🔷 Insulin exposed to extreme temperatures (heat or freezing) should be discarded due to loss of potency.
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This question is from RN Medical Surgical-Summer 2025 which contains 67 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 5