The client with diabetes who is just starting on insulin therapy wants to know why more than one injection of insulin each day will be required. What is the nurse's best response?
A. "You need to start with multiple injections until you become more proficient at self-injection."
B. "A single dose of insulin each day would not match your blood insulin levels and your food intake patterns closely enough."
C. "A regimen of a single dose of insulin injected each day would require that you could eat no more than one meal each day."
D. "A single dose of insulin would be too large to be absorbed predictably, so you would be in danger of unexpected insulin shock."
B
Even when a single injection of insulin contains a combined dose of different-acting insulins, the timing of the actions and the timing of food intake may not match well enough to prevent wide variation in blood glucose levels.
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A female patient with obesity will soon begin treatment with orlistat. The nurse should teach the patient that
A) there will be fat present in her stools. B) her appetite will decline over the next 48 hours. C) she will have to increase her fiber intake. D) she will need to temporarily eliminate fats from her diet.
Which statement would the nurse need to stress when teaching a patient with diabetic neuropathy?
A) set water heater at 120°F B) use mirror to inspect feet daily C) avoid hand and foot massages D) increase medication for pain as necessary
What is true regarding the Medicare Prescription Drug Plan? (Select all that apply.)
a. It is included in Medicare Part A. b. There is a $250 deductible. c. Approximately 25% of prescription drug expenses are covered. d. Only prescriptions written by a medical physician are covered. e. It reimburses 95% of out-of-pocket ex-penses over $3600.
During a sexual history, the female client tells the nurse that since she is in a committed relationship, sexual relations are more satisfying and frequent. The nurse realizes the client is describing:
1. The feeling of connectedness. 2. A lack of intimacy. 3. Emptiness. 4. Disconnection.