ATI Diabetes Mellitus Management,
diabetes Questions and Complete
Solutions Graded A+
A nurse is teaching a client who has type one diabetes mellitus about the peak time of neutral
protamine hagedorn (MPH) inulin. Which of the following statements by the client indicates an
understanding of the teaching? - Answer: 1. NPH insulin peaks in 1-5 hours
Regular insulin has an onset of 30 to 60 min, peaks in 1 to 5 hr, and lasts up to 10 hr.
2. NPH insulin is peakless
Insulin glargine has an onset of 70 min, it is peakless, and it has a duration of 24 hr
*3. NPH insulin peaks in 6-14 hours*
*NPH insulin has an onset of 60 to 120 min, peaks in 6 to 14 hr, and has a duration of 16 to 24 hr.*
4. Insulin peaks in 12-24 hours
Insulin detemir has a slow onset, peaks between 12 and 24 hr, and has a duration that varies with the
dosage.
A nurse is teaching a client who has type one diabetes about the use of an insulin pump. Which of the
following information should the nurse include in the teaching? - Answer: 1. The pump may disconnect
the pump for short periods of time such as bathing and swimming.
2. Insulin is injected intermittently based on the client's glucose level
3. The pump uses intermediate-acting insulin.
, *4. The risk for developing DKA can be increased with the use of an insulin pump*
Malfunction of the pump from low battery power, occlusion of tubing or needles, or lack of insulin in the
pump increases the risk of DKA, particularly if the client is not aware of it.
A nurse is reviewing self-administration of insulin using a pre-filled pen with a client who started using
the pen the previous week. The client asks what can be done to help reduce injection pain. Which of the
following instructions should the nurse give the client? - Answer: 1.Agitate the syringe slightly before
injection.
2. Store the pens with the needle pointing upward.
3. Inserting the needle rapidly minimizes injection pain.
*4. Keep the pen at room temperature for a few minutes.*
*Injecting room-temperature insulin is less painful than injecting cold insulin.*
A nurse is teaching a client who was recently diagnosed with type one diabetes mellitus how to check
blood glucose levels. Which of the following instructions should the nurse include in her teaching? -
Answer: 1. "Blood can be smeared from the fingertip onto the test strip."
2. "Use a syringe and needle to collect and transfer blood to the test strip."
*3."To collect a sample for testing, hold the test strip next to the blood on the fingertip."*
**This allows the blood to flow over the reagent pad until the amount of blood on the strip is adequate.
A sample that is too small can result in falsely low readings.**
4. "Use a capillary tube to collect and transfer the blood from the fingertip."
diabetes Questions and Complete
Solutions Graded A+
A nurse is teaching a client who has type one diabetes mellitus about the peak time of neutral
protamine hagedorn (MPH) inulin. Which of the following statements by the client indicates an
understanding of the teaching? - Answer: 1. NPH insulin peaks in 1-5 hours
Regular insulin has an onset of 30 to 60 min, peaks in 1 to 5 hr, and lasts up to 10 hr.
2. NPH insulin is peakless
Insulin glargine has an onset of 70 min, it is peakless, and it has a duration of 24 hr
*3. NPH insulin peaks in 6-14 hours*
*NPH insulin has an onset of 60 to 120 min, peaks in 6 to 14 hr, and has a duration of 16 to 24 hr.*
4. Insulin peaks in 12-24 hours
Insulin detemir has a slow onset, peaks between 12 and 24 hr, and has a duration that varies with the
dosage.
A nurse is teaching a client who has type one diabetes about the use of an insulin pump. Which of the
following information should the nurse include in the teaching? - Answer: 1. The pump may disconnect
the pump for short periods of time such as bathing and swimming.
2. Insulin is injected intermittently based on the client's glucose level
3. The pump uses intermediate-acting insulin.
, *4. The risk for developing DKA can be increased with the use of an insulin pump*
Malfunction of the pump from low battery power, occlusion of tubing or needles, or lack of insulin in the
pump increases the risk of DKA, particularly if the client is not aware of it.
A nurse is reviewing self-administration of insulin using a pre-filled pen with a client who started using
the pen the previous week. The client asks what can be done to help reduce injection pain. Which of the
following instructions should the nurse give the client? - Answer: 1.Agitate the syringe slightly before
injection.
2. Store the pens with the needle pointing upward.
3. Inserting the needle rapidly minimizes injection pain.
*4. Keep the pen at room temperature for a few minutes.*
*Injecting room-temperature insulin is less painful than injecting cold insulin.*
A nurse is teaching a client who was recently diagnosed with type one diabetes mellitus how to check
blood glucose levels. Which of the following instructions should the nurse include in her teaching? -
Answer: 1. "Blood can be smeared from the fingertip onto the test strip."
2. "Use a syringe and needle to collect and transfer blood to the test strip."
*3."To collect a sample for testing, hold the test strip next to the blood on the fingertip."*
**This allows the blood to flow over the reagent pad until the amount of blood on the strip is adequate.
A sample that is too small can result in falsely low readings.**
4. "Use a capillary tube to collect and transfer the blood from the fingertip."
