NCLEX-RN
NCLEX RN Questions on Endocrine System Questions
Extract:
The following scenario applies to the next 1 items
The nurse in the physician's office is providing education to a client with diabetes mellitus (type one)
Item 1 of 1
Nurses' Note
1655: Client reports to the clinic with an interest in a prescription for an insulin pump. The client reports that he has been inconvenienced by injecting himself with insulin over the past year, considering he is traveling more for work. The client indicates that he heard about insulin pumps and thinks it would be a good fit for his lifestyle.
Orders
1730:
Continuous subcutaneous insulin infusion (insulin pump)
Question 1 of 5
The nurse evaluates the client's understanding following a teaching session regarding the newly prescribed continuous subcutaneous insulin infusion (insulin pump). Click to specify if the client statement indicates effective understanding or requires follow-up
| Client statement | effective understanding | requires follow-up |
|---|---|---|
| I will load my aspart insulin into my pump. | ||
| I will change the infusion set every 5-7 days. | ||
| By having this pump, I will be able to check my glucose level less often. | ||
| I will keep an extra vial of insulin in my car. | ||
| If I remove my pump, it could cause me to develop hypoglycemia. | ||
| Using this pump will lower my risk for diabetic ketoacidosis. | ||
| I should roll my vial of insulin prior to putting it into the pump. |
Correct Answer: A
Rationale: Aspart is fast-acting, ideal for pumps, and rotating sites prevents complications. Pumps don't check glucose, car storage risks temperature damage, removal risks hyperglycemia, and DKA risk remains. Rolling insulin is unnecessary for pumps.
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Question 2 of 5
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Question 5 of 5
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