When using an insulin pump, the student should not disconnect from their pump or suspend their insulin delivery for more than an hour without checking their BG. a) True b) False
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When using an insulin pump, the student should not disconnect from their pump or suspend their insulin delivery for more than an hour without checking their BG.
a) True
b) False
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- The pump can be programmed to deliver insulin similar to a healthy pancreas. Basal insulin can be programmed to deliver at different rates to meet the student’s varying insulin needs.a) Trueb) FalseIn the event a student with diabetes experiences pump failure, it is MOST important to:a) Call the pump companyb) Google the pump company’s website for instructionc) Assess student and use back up suppliesd) Call the student’s provideWhich is the most appropriate timing regarding the nurse’s administration of a rapid-acting insulin to a hospitalized patient? a )Give it 15 minutes before the patient begins a meal.b) Give it ½ hour before a meal.c )Give it 1 hour after a meal.d) The timing of the insulin injection does not matter with insulin lispro
- The LPN administers 5 units of regular insulin. After administration, the nurse would observe the client for which adverse effects? Select one: a. hyperglycemia b. flushed appearance C. clammy skin d. intolerance to heatInsulin lispro was given to a client at 0700 by a night nurse who needed to leave early. At 0730 the client is clammy and refusingb reakfast, stating "I don't feel well, I need to lie down," What is the nurse's action? 1) Check the blood sugar and convince the client to drink juice if possible. 2) Document the refusal and let the client sleep since. 3) Call the night nurse at home and tell her to come back and deal with the situation. 4) Wait to offer breakfast until the client feels better.You have been teaching Mrs. Brown, a 55-year-old woman, about administering her own insulin. You feel that she is attentive but only retains a portion of what you tell her. You end your current session and agree to meet tomorrow to review the information Question: Which response given at the end of the session might be helpful in teaching Mrs. Brown? “Mrs. Brown, what other questions should I be asking? What else might you want to know?” “Mrs. Brown, is something wrong with the way I am giving you this information?” “Mrs. Brown, I am worried you are not getting the bulk of what I am telling you.” “Is there something on your mind other than our lesson, Mrs. Brown?” “I feel you are not paying attention.”
- Jessie comes to the medical office for pre-lunch check. BG – 210 mg/dL, lunch = 59 g, ISF = 1:60 Target – 120 mg/dL I:C = 1:30. How much insulin should you administer?An insulin pump can be programmed to deliver a bolus:a) To cover food or a high BGb) To cover exercise or treat low blood sugarc) To cover exercise or treat high blood sugarWhich statement is appropriate for the nurse to include in patient teaching regarding type 2 diabetes? a )“Insulin injections are never used with type 2 diabetes.”b )“You don’t need to measure your blood glucose levels because you are not taking insulin injections."c) “A person with type 2 diabetes still has functioning beta cells in his or her pancreas.”d )“Patients with type 2 diabetes usually have better control over their diabetes than those with type 1 diabetes.”
- Injection therapy uses intermediate or long-acting insulin to cover the body’s:a) Basal insulin needsb) Bolus insulin needsWhy is it more difficult for Jacob to maintain his injection routine in middle school than it was in elementary school? Knowing that missing an insulin injection could cause a diabetic coma and possibly death, why do you think Jacob is not more conscientious in his self-care? Do you think Jacob’s schoolmates talk about him, or does he just think they do? Discuss both possibilities. What steps can Jacob take to help his classmates understand his condition An insulin pump might be an option for Jacob. What are some of the factors that will help his doctor decide if he’s a good candidate?Describe the steps to follow when injecting insulin using an insulin pen.