A client diagnosed with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client's occupation requires long international flights, and the client does not want to administer insulin on the plane. What kind of insulin would best meet this client's needs?

lispro

glulisine

glargine

aspart

Answer and Explanation

The Correct Answer is C

A. lispro: Lispro is a rapid-acting insulin used to control postprandial glucose spikes and requires multiple daily injections timed with meals. Its short action duration would not be practical for someone looking to avoid insulin administration during extended flights.

B. glulisine: Glulisine also falls into the category of rapid-acting insulins and requires administration around meal times. This type of insulin would likely necessitate in-flight dosing, which the client is trying to avoid, making it less suitable.

C. glargine: Glargine is a long-acting insulin that provides consistent basal insulin levels for up to 24 hours with a single daily injection. Its once-daily dosing schedule eliminates the need for frequent administration, which makes it highly appropriate for this client.

D. aspart: Aspart is designed for rapid onset and short duration of action, administered just before meals. Like other fast-acting insulins, it requires careful timing with food intake and would not reduce the need for injections during international flights.

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Correct Answer is A

Explanation

A. "prazole": Proton pump inhibitors (PPIs) commonly end with the suffix "-prazole" (e.g., omeprazole, pantoprazole, esomeprazole). These drugs work by irreversibly blocking the hydrogen-potassium ATPase enzyme system in gastric parietal cells, effectively suppressing gastric acid production.

B. "dine": The suffix "-dine" is associated with histamine-2 receptor antagonists such as ranitidine and famotidine. These drugs reduce acid secretion by blocking histamine receptors in the stomach, but they are not proton pump inhibitors.

C. "lol": Drugs ending in "-lol" are beta-adrenergic blockers, commonly used to manage hypertension, arrhythmias, and heart failure. They do not have any role in gastric acid suppression and are unrelated to proton pump inhibitors.

D. "pril": The "-pril" suffix is used for angiotensin-converting enzyme (ACE) inhibitors such as enalapril and lisinopril, which are prescribed to treat hypertension and heart failure. They have no mechanism or indication involving gastric acid reduction.

A. "The different onsets and peaks of the two types provide better overall glucose control." B. "NPH prevents regular insulin from being broken down in the body, allowing the use of a lower dose." C. "The combination negates the risk of adverse effects that would likely accompany a single, larger dose." D. "NPH stimulate the pancreas to produce more insulin, while regular insulin provides your body's short-term needs."

Correct Answer is A

Explanation

A. "The different onsets and peaks of the two types provide better overall glucose control.": Regular insulin has a rapid onset and short duration, while NPH insulin has a slower onset and longer duration. When used together, they mimic the body's natural insulin release pattern, offering both immediate and sustained glucose control throughout the day.

B. "NPH prevents regular insulin from being broken down in the body, allowing the use of a lower dose.": NPH does not alter how regular insulin is metabolized. Each insulin type acts independently, and NPH does not preserve or enhance the activity of regular insulin.

C. "The combination negates the risk of adverse effects that would likely accompany a single, larger dose.": The primary reason for using two types is to align insulin activity with the body’s varying needs. Risk reduction from side effects is not the primary purpose.

D. "NPH stimulates the pancreas to produce more insulin, while regular insulin provides your body's short-term needs.": NPH insulin is synthetic and does not stimulate pancreatic insulin production. Clients with type 1 diabetes lack insulin production altogether, so both types must be provided exogenously.

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A client diagnosed with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client's occupation requires long international flights, and the client does not want to administer insulin on the plane. What kind of insulin would best meet this client's needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows that proton pump inhibitor drugs often end in the suffix:

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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