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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?

A.

“I will freeze unopened insulin vials.”.

B.

“I should increase my insulin when I exercise.”.

C.

“I should inject the insulin into my abdominal area.”.

D.

“I will shake the insulin vial vigorously to mix.”.

Answer and Explanation

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

Explanation

Choice A rationale

Phenazopyridine hydrochloride does not turn the urine purple. This color change is not associated with the medication.

Choice B rationale

Phenazopyridine hydrochloride turns the urine orange. This is a common and expected side effect of the medication and is harmless.

Choice C rationale

Phenazopyridine hydrochloride does not turn the urine blue. This color change is not associated with the medication.

Choice D rationale

Phenazopyridine hydrochloride does not turn the urine green. This color change is not associated with the medication.

Correct Answer is B

Explanation

Choice A rationale

Lethargy is not a common side effect of phenazopyridine. This medication is primarily used to relieve urinary tract pain and discomfort.

Choice B rationale

Reddish-orange urine is a common and expected side effect of phenazopyridine. This discoloration is harmless but can stain clothing.

Choice C rationale

Burning during urination is a symptom that phenazopyridine is used to relieve, not a side effect of the medication.

Choice D rationale

Visual disturbances are not commonly associated with phenazopyridine use.

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