A client receives 20 units of isophane insulin suspension (NPH) insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

0900

1400

2100

1100

Answer and Explanation

The Correct Answer is D

A.   This time falls shortly after the onset of NPH insulin. While hypoglycemia could start to occur around this time, it is less likely to be at its peak.
B.   This time is past the peak range of NPH insulin. The likelihood of hypoglycemia is lower as the insulin effect would be tapering off.
C.   This time is well past the usual duration of NPH insulin. By this point, the risk of hypoglycemia would be significantly decreased.
D.   This time falls within the peak action of NPH insulin (approximately 4-12 hours post-administration). This is when hypoglycemia is most likely to occur due to the greatest effect of the insulin.

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Correct Answer is B

Explanation

A. While claudication (muscle cramps with exercise) is common in earlier stages of PAD, it typically occurs in stage II. In stage III, pain often occurs at rest rather than with exertion.
B. In stage III PAD, patients often report rest pain, which can manifest as burning pain in the legs or feet, particularly at night when lying down. This is a hallmark symptom of advanced PAD due to inadequate blood flow.
C. While diminished pulses (like +1) can be found in PAD, this finding alone is not specific to stage III. In advanced stages, pulses may be even weaker or absent.
D. Blackened tissue (necrosis or gangrene) indicates a more severe stage (stage IV) of PAD, where there is critical limb ischemia and tissue death due to a lack of blood flow. Stage III may involve severe pain but usually does not have necrosis.

A. 0650 B. 0700 C. 0640 D. 0710

Correct Answer is B

Explanation

This timing allows for 30 minutes after administration. Since insulin lispro starts working in about 15 minutes, having breakfast at this time ensures that the client’s blood sugar is managed effectively without risking hypoglycemia.

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A client receives 20 units of isophane insulin suspension (NPH) insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

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Naxlex Comprehensive Predictor Exams

The client's chart indicates the diagnosis of stage III peripheral arterial disease. Which nursing assessment finding correlates with this diagnosis?

Correct Answer is B

Explanation

The nurse administers 10 units of insulin lispro to a client at 0630 and anticipates that the client must have breakfast by:

Correct Answer is B

Explanation

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