Diabetes: Types of Insulin

A patient with type 1 diabetes is prescribed a long-acting insulin. How should the nurse instruct the patient to store the insulin?

A patient is admitted with DKA and a critically high blood glucose level. After initial fluid resuscitation, which type of insulin administration is MOST appropriate for the nurse to initiate?

A patient taking NPH insulin reports experiencing hypoglycemia in the mid-afternoon. What is the MOST likely reason for this occurrence?

A patient with diabetes is prescribed insulin glargine (Lantus). Which statement indicates that the patient has a correct understanding of this medication?

A client with Type 2 diabetes is prescribed metformin to help control blood sugar. The patient is scheduled for a CT scan with contrast. Which action should the nurse take?

When educating a patient on sick day rules, which instruction is MOST important for preventing complications?

A nurse is reviewing a patient's medication list and notices the patient is prescribed both a beta-blocker and insulin. What is the primary concern with this combination?

A patient with diabetes develops peripheral neuropathy. What is the MOST important teaching point regarding foot care to prevent complications?

A nurse is caring for a patient who is receiving both insulin and potassium supplementation. What pathophysiological principle explains the rationale for this concurrent treatment?

A patient with a history of diabetic ketoacidosis (DKA) is admitted with nausea, vomiting, and confusion. Initial lab results show a blood glucose of 580 mg/dL, elevated ketones, and a pH of 7.25. In addition to IV fluids and insulin, what electrolyte is MOST critical to monitor and address during the initial phase of treatment?

A patient who has been newly diagnosed with Type 1 diabetes asks why they need insulin injections instead of oral medication. What rationale should the nurse provide to the patient?

A patient with diabetes is prescribed both insulin and an oral hypoglycemic agent. Which patient statement indicates a need for further teaching?

A patient with a one-year history of diabetes has a consistently elevated fasting blood glucose level (over 200 mg/dL) despite adherence to diet and exercise. The patient is prescribed insulin in addition to their oral medications. What is the BEST explanation for this course of treatment?

The nurse is teaching a client how to mix regular insulin and NPH insulin in the same syringe. Which instruction is MOST important?

A patient experiences the Somogyi effect. How should the nurse explain this phenomenon to the patient?

A patient with diabetes is prescribed a new medication that is known to cause fluid retention. How should the nurse modify the patient’s care plan to address the potential impact of this side effect?

A patient with Type 2 diabetes and a history of cardiovascular disease is being considered for a new antidiabetic medication. Which medication class would be MOST concerning due to potential adverse cardiovascular effects?

A nurse is caring for a patient with diabetic gastroparesis. Which intervention is MOST appropriate for managing this condition?

A patient who has both diabetes and chronic kidney disease is prescribed insulin. What modification to the insulin regimen should a nurse anticipate?

A patient receives both insulin lispro (Humalog) and insulin glargine (lantus) each morning. What intervention should the nurse implement?