Author Question: The nurse is teaching the patient about the newly prescribed external insulin pump. What are ... (Read 193 times)

lbcchick · **on:** Jul 23, 2018

The nurse is teaching the patient about the newly prescribed external insulin pump. What are priority teaching points for the nurse to include? (Select all that apply.)

A) Watch for signs and symptoms of infection.
B) Check blood glucose frequently.
C) Change tubing frequently.
D) Have pump calibrated weekly.
E) Added insulin requires separate injection site.

Question 2

What neurotransmitter inhibits overexcitability and is important in preventing seizure activity in a patient?

A) Acetylcholine
B) Dopamine
C) Gamma-aminobutyric acid (GABA)
D) Serotonin

paavo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, B, C, D
Feedback:
This pump device can be worn on a belt or hidden in a pocket and is attached to a small tube inserted into the subcutaneous tissue of the abdomen. The device slowly leaks a base rate of insulin into the abdomen all day; the patient can pump or inject booster doses throughout the day to correspond with meals and activity. The device does have several disadvantages. For example, it is awkward, the tubing poses an increased risk of infection and requires frequent changing, and the patient has to frequently check blood glucose levels throughout the day to monitor response. There is no need to calibrate the pump.

Answer to Question 2

C
Feedback:
GABA is found in the brain and inhibits nerve activity. It is important in preventing overexcitability or stimulation such as seizure activity. Acetylcholine communicates between nerves and muscles. Dopamine is involved in the coordination of impulses and responses, both motor and intellectual. Serotonin is found in the limbic system and is important in arousal and sleep as well as in preventing depression and promoting motivation.