Which patient action indicates a good understanding of the ...

[ETearle]

Which patient action indicates a good understanding of the nurse's teaching about the use of an insulin pump?
 
  a. The patient programs the pump for an insulin bolus after eating.
  b. The patient changes the location of the insertion site every week.
  c. The patient takes the pump off at bedtime and starts it again each morning.
  d. The patient plans for a diet that is less flexible when using the insulin pump.

Question 2

Which patient action indicates good understanding of the nurse's teaching about administration of aspart (NovoLog) insulin?
 
  a. The patient avoids injecting the insulin into the upper abdominal area.
  b. The patient cleans the skin with soap and water before insulin administration.
  c. The patient stores the insulin in the freezer after administering the prescribed dose.
  d. The patient pushes the plunger down while removing the syringe from the injection site.

[joanwhite]

Answer to Question 1

ANS: A
In addition to the basal rate of insulin infusion, the patient will adjust the pump to administer a bolus after each meal, with the dosage depending on the oral intake. The insertion site should be changed every 2 or 3 days. There is more flexibility in diet and exercise when an insulin pump is used. The pump will deliver a basal insulin rate 24 hours a day.

Answer to Question 2

ANS: B
Cleaning the skin with soap and water or with alcohol is acceptable. Insulin should not be frozen. The patient should leave the syringe in place for about 5 seconds after injection to be sure that all the insulin has been injected. The upper abdominal area is one of the preferred areas for insulin injection.

[ETearle]

TYSM

[Zebsrer]

Excellent