Insulin Pump Therapy: Administration and Safety

A registered nurse (RN) is preparing to delegate tasks related to insulin pump management for a stable client. Which task is most appropriate to delegate to a trained practical nurse (PN)?

Prior to initiating insulin pump therapy, the nurse reviews the client's medical record. Which piece of information is most critical to verify during this initial assessment phase to ensure client safety?

The nurse is preparing to insert an insulin pump for a client. According to best practice guidelines, which action aligns with the 'Planning' phase of the nursing process during this skill?

During the 'Implementation' phase of insulin pump insertion, which nursing action is most directly related to minimizing the risk of infection at the insertion site?

The nurse is priming the insulin pump tubing prior to insertion. What is the primary rationale for ensuring all air bubbles are removed from the tubing before connecting it to the client?

Following insulin pump insertion and initial programming, the nurse is educating the client on recognizing signs of hypoglycemia. Which statement by the client indicates a need for further teaching?

The nurse is reviewing the provider's prescription for insulin pump settings. Which component is essential to verify in the prescription to ensure safe and effective insulin delivery?

The nurse is preparing to insert an insulin pump. Which anatomical location is generally considered the most appropriate initial insertion site for an insulin pump, considering absorption rates and client comfort?

Following the insertion of an insulin pump, the nurse is documenting the procedure in the client's medical record. Which element is most crucial to include in the documentation to ensure comprehensive and legally sound patient care?

The nurse observes a practical nurse (PN) preparing to initiate insulin pump therapy for a newly admitted client. Which action by the PN would require immediate intervention by the registered nurse (RN)?

A client with a newly inserted insulin pump reports feeling anxious and overwhelmed by the technology. Which nursing intervention is most appropriate to address the client's immediate emotional response?

The nurse is teaching a client about rotating insulin pump insertion sites. What is the primary rationale for emphasizing site rotation in client education?

When preparing the insulin pump, the nurse notices that the pre-filled insulin cartridge is expired. What is the most appropriate nursing action in this situation?

The nurse is selecting an antiseptic to cleanse the insulin pump insertion site. Which characteristic of the antiseptic is most important to consider to minimize skin irritation and ensure effectiveness?

The nurse is preparing to secure the insulin pump tubing to the client’s clothing after insertion. What is the primary rationale for ensuring the tubing is properly secured and has adequate slack?

A client with an insulin pump develops signs of hyperglycemia. After assessing the client and reviewing pump settings, what is the most immediate nursing intervention?

The nurse is educating assistive personnel (AP) regarding their role in caring for clients with insulin pumps. Which task is within the scope of practice for AP when caring for these clients?

When providing privacy for a client during insulin pump insertion, which action demonstrates the nurse's respect for the client's psychological and emotional well-being, beyond just physical privacy?

The nurse is reviewing the client's medical record for 'pertinent laboratory values' prior to insulin pump insertion. Which laboratory value is most critical to assess in relation to insulin administration and potential contraindications?

Following insulin pump insertion, the nurse applies a sterile occlusive dressing. What is the primary purpose of using an occlusive dressing at the insertion site?

The nurse is preparing to administer a bolus dose of insulin via the pump before the client's meal. Which factor is most important to consider when determining the bolus dose to be administered?

A client with an insulin pump is being discharged home. Which aspect of discharge teaching is most critical for ensuring the client's safe self-management of the pump at home?

The nurse is reviewing facility protocol for 'triple checking' insulin prior to pump loading. What is the primary rationale behind this triple-check system in medication administration?

During insulin pump insertion, the client expresses concern about the needle insertion. Which nursing intervention is most effective in minimizing the client's discomfort during this step?

The nurse is initiating an insulin pump on a client who is also receiving anticoagulant therapy. What is a critical safety consideration unique to this client population during insertion?

The nurse is reviewing the 'Safety Considerations' for insulin pump administration. Which action is emphasized as a primary safety measure to prevent medication errors specifically related to insulin?

A client's insulin pump malfunctions, and the nurse needs to temporarily administer insulin via subcutaneous injection until the pump is replaced. Which type of insulin is most appropriate for this immediate, temporary subcutaneous administration to maintain glycemic control?

The nurse is educating a client on when to seek immediate medical attention related to their insulin pump therapy. Which client statement indicates a critical need for emergent medical intervention?

The nurse is evaluating the effectiveness of client education on insulin pump therapy. Which client behavior best demonstrates successful learning and self-management competency?