A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?

Gestational

Prediabetes

Type 1

Type 2

Answer and Explanation

The Correct Answer is C

A. Gestational: Gestational diabetes occurs during pregnancy and does not involve ketones in blood and urine, which are indicative of diabetic ketoacidosis (DKA).

B. Prediabetes: Prediabetes involves mildly elevated glucose levels but does not present with ketones or DKA.

C. Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.

D. Type 2: Type 2 diabetes is less likely to present with DKA as insulin production is typically sufficient to prevent significant ketone formation.

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Correct Answer is C

Explanation

A. 0730: At this time, the client is eating breakfast, which aligns with the onset of NPH insulin but does not address its peak effect.

B. 1230: This coincides with lunch, which matches the duration of NPH insulin but not the time when hypoglycemia is most likely to occur.

C. 1500: NPH insulin peaks about 4–12 hours after administration. Providing a snack at 1500 helps prevent hypoglycemia during the peak insulin activity.

D. 0900: This time is too early to account for the peak effect of NPH insulin, which usually occurs later in the day.

A. has no peak B. 4 to 14 hr C. 1 to 5 hr D. 30 min to 3 hr

Correct Answer is B

Explanation

A. Has no peak: NPH insulin has a distinct peak time, unlike long-acting insulins such as glargine or detemir, which have no peak.

B. 4 to 14 hr: NPH insulin is an intermediate-acting insulin with an onset of 1-2 hours, a peak between 4-14 hours, and a duration of 16-24 hours.

C. 1 to 5 hr: This timeframe describes the peak of short-acting insulins such as regular insulin.

D. 30 min to 3 hr: This timeframe describes the peak of rapid-acting insulins such as lispro, aspart, or glulisine.

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A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse plan to offer a snack if meals are served around 0730, 1230, and 1730?

Correct Answer is C

Explanation

A nurse is preparing to administer a client's daily dose of NPH insulin at 0730. The nurse should expect this type of insulin to peak within which of the following timeframes after administration?

Correct Answer is B

Explanation

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