A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus. Which of the following statements from the client indicates to the nurse the teaching is effective?
“I will freeze unopened insulin vials.”.
“I should increase my insulin when I exercise.”.
“I should inject the insulin into my abdominal area.”.
“I will shake the insulin vial vigorously to mix.”.
The Correct Answer is C
Choice A rationale
Freezing unopened insulin vials is incorrect. Insulin should be stored in the refrigerator at a temperature between 36°F and 46°F (2°C and 8°C) until it is opened. Freezing insulin can cause it to lose its potency and effectiveness. Once opened, insulin vials can be kept at room temperature for up to 28 days, but they should never be frozen.
Choice B rationale
Increasing insulin when exercising is incorrect. Exercise generally lowers blood glucose levels, so clients with type 1 diabetes may need to decrease their insulin dose or consume additional carbohydrates to prevent hypoglycemia during and after physical activity. It is important for clients to monitor their blood glucose levels closely and adjust their insulin and carbohydrate intake accordingly.
Choice C rationale
Injecting insulin into the abdominal area is correct. The abdominal area is one of the recommended sites for insulin injection because it has a large surface area and provides consistent absorption. Other recommended sites include the upper outer arms, thighs, and buttocks. Rotating injection sites within the same area helps prevent lipodystrophy and ensures better insulin absorption.
Choice D rationale
Shaking the insulin vial vigorously to mix is incorrect. Insulin vials should be gently rolled between the hands to mix the contents. Shaking the vial vigorously can cause air bubbles to form, which can lead to inaccurate dosing. Proper mixing ensures that the insulin is evenly distributed and effective.
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View Related questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Polyuria (frequent urination) is not a typical manifestation of hypoglycemia. It is more commonly associated with hyperglycemia (high blood sugar levels)15.
Choice B rationale
Sweating is a common symptom of hypoglycemia. It occurs as the body’s response to low blood sugar levels, triggering the release of adrenaline.
Choice C rationale
Blurry vision can occur during hypoglycemia due to the lack of glucose available for the proper functioning of the eyes.
Choice D rationale
Tachycardia (rapid heartbeat) is a common symptom of hypoglycemia. It occurs as the body’s response to low blood sugar levels, triggering the release of adrenaline.
Choice E rationale
Polydipsia (excessive thirst) is not a typical manifestation of hypoglycemia. It is more commonly associated with hyperglycemia.
Correct Answer is C
Explanation
Choice A rationale
Avoiding bubble baths is a correct measure for preventing UTIs. Bubble baths can irritate the urethra and increase the risk of infection by allowing bacteria to enter the urinary tract. The warm, soapy water can disrupt the natural balance of bacteria in the genital area, making it easier for harmful bacteria to thrive and cause infections.
Choice B rationale
Voiding after sexual intercourse is a correct measure for preventing UTIs. During sexual activity, bacteria can be introduced into the urethra. By urinating after intercourse, the client can help flush out any bacteria that may have entered the urinary tract, reducing the risk of infection.
Choice C rationale
Wiping the perineal area from back to front after urination is incorrect and indicates the need for further teaching. This practice can transfer bacteria from the anal area to the urethra, increasing the risk of UTIs. The correct method is to wipe from front to back to prevent the spread of bacteria.
Choice D rationale
Drinking at least 8 full glasses of liquid each day is a correct measure for preventing UTIs. Adequate hydration helps flush bacteria from the urinary tract, reducing the risk of infection. Drinking plenty of fluids ensures that the bladder is emptied regularly, which helps prevent the buildup of bacteria.t