Insulin Types and Diabetes Overview

Which of the following insulin types would be LEAST appropriate for immediate post-meal glucose control due to its delayed onset of action?

A patient with type 1 diabetes is prescribed insulin glargine. The nurse is educating the patient on the medication. Which statement by the patient indicates a NEED for further teaching?

A patient receiving NPH insulin twice daily consistently experiences hypoglycemia in the mid-afternoon. Which change to the insulin regimen would MOST effectively address this issue?

A patient with type 2 diabetes is prescribed both metformin and insulin. What physiological process is MOST directly addressed through the combined use of these medications?

A pregnant patient is diagnosed with gestational diabetes (GDM) and is unable to control her blood glucose levels with diet and exercise alone. Considering the information provided, which insulin regimen would be the MOST appropriate INITIAL approach?

A patient with type 1 diabetes is admitted to the hospital with diabetic ketoacidosis (DKA). Besides intravenous fluids, which type of insulin is MOST appropriate to administer initially?

A nursing home resident with type 2 diabetes is prescribed NPH insulin BID. The nurse observes that the patient often skips meals due to poor appetite. What is the MOST appropriate nursing intervention related to the insulin administration?

A patient with diabetes is being discharged. Which of the following patient statements indicates a GOOD understanding of foot care instructions?

A patient with type 2 diabetes who takes oral medications develops a severe foot ulcer. The provider prescribes IV antibiotics and admits the patient to the hospital. What ADDITIONAL intervention is MOST important to consider for this patient during their hospital stay?

A patient prescribed insulin reports difficulty drawing up two types of insulin (NPH and regular) into the same syringe. What is the MOST appropriate instruction for the nurse to provide?

Which complication is MOST directly related to chronic hyperglycemia in diabetes?

A patient with type 1 diabetes is preparing for a vigorous workout. Which adjustment to their insulin regimen is MOST appropriate to prevent hypoglycemia?

A patient with diabetes is diagnosed with gastroparesis. What dietary modification is MOST important for the nurse to teach?

A patient with diabetes is prescribed a medication that impairs their ability to sense hypoglycemia. Which medication has this side effect?

A patient who has just been diagnosed with type 2 diabetes asks about the role of family history. Which explanation is MOST accurate?

Which of the following is the MOST critical step in managing sick days for a patient with diabetes?

A patient with diabetes is prescribed pramlintide in addition to insulin. Which of the following teaching points is MOST IMPORTANT for the nurse to emphasize?

A patient with diabetic nephropathy is prescribed an ACE inhibitor. What is the PRIMARY reason for using this medication in this patient population?

A patient with a history of cardiovascular disease and diabetes is prescribed pioglitazone. What potential risk associated with this medication should the nurse closely monitor for?

A patient with diabetes is found unresponsive and hypoglycemic. After administering glucagon, the nurse should prioritize which of the following actions?