A nurse is providing teaching to a patient starting on insulin detemir. The nurse should emphasize:

“You will take this insulin once daily for basal coverage.”

A patient calls the clinic complaining of cloudy insulin detemir. Which is the best nursing response?

Discard the vial. Insulin detemir should always appear clear.

Which of the following pts would most benefit from an insulin sliding-scale regimen combined with a long-acting insulin?

A newly admitted postoperative pt with fluctuating blood glucose levels

A patient on a 70/30 insulin complains of mid-afternoon hypoglycemia. The nurse understands that this most likely

The peak action of the NPH insulin

A patient asks, “Why do I have to take both a rapid-acting insulin and a long-acting insulin?

The rapid manages BG spikes from meals, while the long-acting is basal.

A pt's regimen includes 5 units of lispro and 20 units of NPH. The nurse understands that the best time to administer is

Right when the patient starts eating breakfast.

A pt is prescribed insulin lispro. Which statement by the pt is a correct understanding of how to take this insulin?

“I will administer this insulin immediately before I start eating.”

When teaching a newly diagnosed patient about mixing insulin NPH and regular insulin in the same syring

“Draw up the regular insulin first, then the NPH insulin.”

A pt with T1DM using an insulin pump with rapid-acting insulin asks the nurse, “Why do I still need to check my BG?

Even with the pump, you need to check levels to ensure proper dosing

A nurse prepares to administer insulin aspart to a pt who has T1DM. Which of the following actions is most appropriate

Ensure that the patient begins eating within 5–10 minutes of the injection.

Which patient statement indicates the need for further teaching about storing insulin safely?

I can freeze my insulin vials so they’ll last longer.

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Insulin Administration

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Test your knowledge on insulin administration and management for patients with diabetes

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Questions 14

Answers

1
A nurse is providing teaching to a patient starting on insulin detemir. The nurse should emphasize:
“You will take this insulin once daily for basal coverage.”
“This insulin has a peak time of about one hour.”
“You can mix this insulin with rapid-acting insulin in the same syringe.”
“Be sure to take it right before your meals to control post-meal spikes.”
2
A patient calls the clinic complaining of cloudy insulin detemir. Which is the best nursing response?
Go ahead and use it as long as it is within the expiration date.
That’s normal. All long-acting insulins look cloudy.
Discard the vial. Insulin detemir should always appear clear.
Cloudiness can occur if you accidentally froze the vial.
3
Which of the following pts would most benefit from an insulin sliding-scale regimen combined with a long-acting insulin?
A pt with stable T2DM who has not experienced hyperglycemia in months
A pt who strictly follows a carb-counting plan with near-perfect control
A newly admitted postoperative pt with fluctuating blood glucose levels
A pt on once-daily basal insulin without post-meal spikes
4
A patient on a 70/30 insulin complains of mid-afternoon hypoglycemia. The nurse understands that this most likely
The dawn phenomenon
A late morning insulin surge
The peak action of the NPH insulin
A sudden rise in cortisol levels
5
A patient receiving regular insulin intravenously for DKA needs close monitoring of which electrolyte?
Sodium
Calcium
Magnesium
Potassium
6
A patient asks, “Why do I have to take both a rapid-acting insulin and a long-acting insulin?
The two insulins work better together, but there is no difference in them.
The rapid insulin is for hypoglycemia, and the long is for hyperglycemia
The rapid manages BG spikes from meals, while the long-acting is basal.
Using two insulins is no longer recommended
7
A pt's regimen includes 5 units of lispro and 20 units of NPH. The nurse understands that the best time to administer is
Right when the patient starts eating breakfast.
One hour before breakfast to ensure peak action during the meal.
An hour after the meal.
30 minutes after the patient begins breakfast.
8
On assessment a pt who received glulisine before lunch but has not been able to eat. Which finding is most concerning
A blood glucose of 250 mg/dL
Complaints of thirst and dry mouth
A blood glucose of 180 mg/dL
Mild diaphoresis and trembling
9
A pt is prescribed insulin lispro. Which statement by the pt is a correct understanding of how to take this insulin?
“I can wait up to an hour after eating to inject my insulin.”
“I will administer this insulin immediately before I start eating.”
“I should inject the insulin 30 minutes before my meal.”
“I only need to administer this insulin once daily.”
10
When teaching a newly diagnosed patient about mixing insulin NPH and regular insulin in the same syring
“Draw up the regular insulin first, then the NPH insulin.”
“Draw up both insulins at the same time to avoid contamination.”
“Draw up the NPH insulin first, then the regular insulin.”
“Do not mix NPH and regular insulin in the same syringe.”
11
A nurse is educating a pt about the onset, peak, and duration of NPH. Which description of peak time is most accura
2–4 hours
12–16 hours
6–14 hours
15–30 minutes
12
A pt with T1DM using an insulin pump with rapid-acting insulin asks the nurse, “Why do I still need to check my BG?
Your canstop checking once you’ve had stable readings for a few days.
Even with the pump, you need to check levels to ensure proper dosing
The pump will automatically adjust your insulin dose to match your BG
Frequent monitoring isn’t necessary unless you feel shaky or confused.
13
A nurse prepares to administer insulin aspart to a pt who has T1DM. Which of the following actions is most appropriate
Ensure that the patient begins eating within 5–10 minutes of the injection.
Shake the vial vigorously before drawing up the dose.
Mix insulin aspart with detemir in the same syringe.
Administer the insulin aspart 60 minutes before breakfast.
14
Which patient statement indicates the need for further teaching about storing insulin safely?
I can freeze my insulin vials so they’ll last longer.
If my insulin has been exposed to extreme heat, I should replace it.
I’ll keep the insulin I’m currently using at room temperature.
I can store unopened insulin in the refrigerator until the expiration date.

Insulin Administration Flashcards | StudBud