The nurse cautions the diabetic patient that diabetes affects the ...

[renzo156]

The nurse cautions the diabetic patient that diabetes affects the blood flow through the kidney. Which statement indicates that the patient understands the nurse's teaching?
 
  a. Long-term high blood sugars provide an environment for bacteria to grow, which can damage my kidneys.
  b. Diabetes causes changes to blood vessels, which impacts blood flow to my kidneys.
  c. Diabetes causes an immune response and exposes my kidneys to antibody com-plexes.
  d. Long-term insulin use leads to scarring on the kidneys.

Question 2

The nurse watches a patient perform an insulin injection. Which observation(s) indicate(s) that the patient needs additional instruction? (select all that apply.)
 
  a. The patient uses a 90-degree angle to ad-minister the injection.
  b. The patient cleans the injection site with alcohol before the injection.
  c. The patient rubs the injection site after administration of the insulin injection.
  d. The patient draws up the cloudy insulin and then the clear insulin.
  e. The patient shakes the insulin bottle before administration.

[Hikerman221]

Answer to Question 1

B
The long-term effect of diabetes is generalized vasoconstriction, which leads many diabetic pa-tients to renal insufficiency and renal failure. Diabetes can increase a patient's risk for infection. Diabetes does not cause exposure to antibody complexes. Insulin usage does not scar the kid-neys.

Answer to Question 2

C, D, E
The patient should not rub the injection site because it could alter absorption. When mixing two types of insulin, in order to prevent contamination of the second vial, the patient should with-draw clear insulin into the syringe first. Shaking the bottle can damage the solution; the patient should gently roll the bottle between the palms of the hands. Administering the injection at a 90-degree angle and cleaning the injection site prior to injection describe appropriate technique.

[renzo156]

Excellent

[alvinum]

Gracias!