A nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type I diabetes mellitus. Which of the following information should the nurse include about site selection?
Rotate the injection site to keep insulin levels consistent.
Massage the site after injection to promote absorption.
Insulin is absorbed most rapidly when injected in the thigh.
Use cold insulin for injection to minimize site pain.
The Correct Answer is A
Rationale:
A. Rotating injection sites is essential to prevent lipodystrophy and ensure consistent insulin absorption.
B. Massaging the injection site is not recommended, as it can alter the absorption rate and lead to unpredictable blood glucose levels.
C. Insulin is absorbed most rapidly when injected into the abdomen, not the thigh.
D. Using cold insulin is not advised as it can cause more pain during the injection; room temperature insulin is typically more comfortable for injections.
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Correct Answer is C
Explanation
Rationale:
A. Normal pulse and respiratory rates do not indicate the expected tachycardia or Kussmaul respirations in DKA.
B. This option shows a slower heart rate, which is not typical of DKA where tachycardia is expected.
C. In diabetic ketoacidosis (DKA), clients typically exhibit tachycardia due to dehydration and deep, rapid Kussmaul respirations as the body attempts to correct the acidosis.
D. The vital signs in this option do not reflect the expected findings of DKA, such as tachycardia and deep respirations.
Correct Answer is A
Explanation
Rationale:
A. Protein intake should be increased in hypothyroidism to support muscle mass and metabolism, which may slow due to reduced thyroid hormone levels.
B. Fiber is important for digestion, but it is not directly related to managing hypothyroidism. Excess fiber may also interfere with thyroid medication absorption.
C. Polyunsaturated fats are beneficial for overall health but do not specifically target the needs of clients with hypothyroidism.
D. Monounsaturated fats are also healthy, but they are not directly linked to the metabolic changes in hypothyroidism.