NURS 5336 Module 4 Quiz Part 4 Questions With Compete
Solutions
After calculating the total daily dose for a new diagnosis of
T2D, how is the insulin then divided? Correct Answer - 50%
basal insulin
- 50% meal time insulin
Bolus insulin: How is a correction bolus given? Correct Answer
Similar to old-time "sliding scale" routines
Bolus insulin: How is rapid-acting insulin given? Correct
Answer Either by syringe or pump
Except for starting ___, there is no one approach to use but a
trained decision-making process will help Correct Answer
Metformin
For insulin dosing, the ADA recommends starting ___ and going
___. Correct Answer - Low
- Slow
How to Start Basal Insulin: Correct Answer
How to Start Basal Insulin: If a patient is newly diagnosed Type
1 and on an insulin drip, calculate the number of units needed
per hour when a patient was not eating and multiply that by 24,
then decrease by ___. Correct Answer 20%
How to Start Basal Insulin: the ADA and AACE recommend
starting with __ units of basal insulin and then increasing by ___
, units every ___ until fasting glucose is 100 mg/dL Correct
Answer - 10
-2
- 3-4 days
How to Start Basal Insulin: The most common way that is used
in Type 2 diabetes is ___. Correct Answer Weight based
How to Start Basal Insulin: What is considered a good starting
point for insulin in T2D? Correct Answer 0.6 units per kg per
day
How to Start Basal Insulin: When can mealtime dosing begin?
Correct Answer Once the fasting glucose is 100 mg/dL
How to Start Basal Insulin: When should the basal insulin be
given? Correct Answer Approximately 14 hours before
breakfast
Keep in mind that lunch/dinner pre-meal glucose should be ___
AND 2 hour postprandial glucos should be ___. Correct
Answer - 140 mg or less
- 160 mg or less
MDI (multiple daily injections): What intervention is the patient
responsible for? Correct Answer Self-monitoring of blood
glucose is CRITICAL
MDI (multiple daily injections): What is the major adverse
effect? Correct Answer Hypoglycemia
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