NU473 Week 5: Evolve Elsevier EAQ Diabetes - 26 Questions
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Instructions for Self-Administering Insulin with an Insulin Pen
Select all that apply:
1. Prime the needle with two units. - Rationale: Priming the needle removes any air and ensures accurate dosing.
2. Use a 29-g...
Instructions for Self-Administering Insulin with an Insulin Pen
Select all that apply:
1. Prime the needle with two units.
- Rationale: Priming the needle removes any air and ensures accurate dosing.
2. Use a 29-gauge insulin needle.
- Rationale: A 29-gauge needle is appropriate for subcutaneous insulin injections as it is thin enough to
minimize discomfort while allowing effective delivery of insulin.
3. Give the injection at a 45-degree angle.
- Rationale: For a thinner patient, administering the injection at a 45-degree angle can help ensure that
the insulin is delivered into the subcutaneous tissue rather than the muscle.
4. Refrain from recapping the needle.
- Rationale: Recapping needles can lead to accidental needle sticks and potential exposure to
bloodborne pathogens.
5. Dial the pen to deliver the unit dose.
- Rationale: This step is essential to ensure that the correct dose of insulin is administered.
Considering all the options, the correct instructions would be:
- Prime the needle with two units.
- Use a 29-gauge insulin needle.
- Give the injection at a 45-degree angle.
- Refrain from recapping the needle.
- Dial the pen to deliver the unit dose.
, Symptoms of Hypoglycemia (Blood Glucose Level of 55 mg/dL)
Select all that apply:
1. Cold, clammy skin.
- Rationale: Cold, clammy skin is a classic sign of hypoglycemia due to adrenergic responses.
The symptoms related to hypoglycemia:
- Cold, clammy skin
Symptoms Not Related to Hypoglycemia:
- Increased thirst (associated with hyperglycemia)
- Abdominal pain (not a typical hypoglycemia symptom)
- Frequent urination (associated with hyperglycemia)
- 3+ glucose in urinalysis (indicative of hyperglycemia)
Recognizing Signs of Hypoglycemic Reaction
Select all that apply:
1. Fatigue
- Rationale: Fatigue can occur due to inadequate glucose for energy.
2. Weakness
- Rationale: Weakness results from decreased glucose availability for the central nervous system.
3. Nervousness
- Rationale: Increased adrenergic activity and catecholamine release lead to feelings of anxiety and
nervousness in hypoglycemia.
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