A patient who has type 1 diabetes mellitus asks the nurse about ...

[nmorano1]

A patient who has type 1 diabetes mellitus asks the nurse about using a combination insulin product such as Humalog 75/25. The nurse will tell the patient that use of this product
 
  a. depends on individual insulin needs.
  b. is useful for patient with insulin resistance.
  c. means less rotation of injection sites.
  d. requires refrigeration at all times.

Question 2

A patient has administered regular insulin 30 minutes prior but has not received a breakfast tray. The patient is experiencing nervousness and tremors. What is the nurse's first action?
 
  a. Administer glucagon.
  b. Give the patient orange juice.
  c. Notify the kitchen to deliver the tray.
  d. Perform bedside glucose testing.

[Kimmy]

Answer to Question 1

ANS: A
Combination products are convenient because the patient does not have to mix insulin, but the products depend on individual needs, since the doses are fixed. They are not used for patients with insulin resistance. Patients must continue to rotate injection sites. They do not require refrigeration after first use.

Answer to Question 2

ANS: B
The patient is symptomatic and has hypoglycemia. The nurse should give orange juice. Glucagon is given for patients unable to ingest carbohydrates. The kitchen should be notified, and bedside glucose testing should be performed, but only after the patient is given carbohydrates.

[nmorano1]

Excellent

[miss.ashley]

TYSM