A client receives 8 units of regular insulin at 0730. When should the nurse should be most alert for signs and symptoms of hypoglycemia?
"Between 0930 and 1130."
"Between 1130 and 1330."
"Between 0930 and 1030.
"Between 1130 and 1930."
The Correct Answer is A
A. Regular insulin typically reaches its peak action 2 to 4 hours after administration. Since the insulin was given at 0730, the nurse should be most alert for signs of hypoglycemia between 0930 and 1130 when the insulin is most effective in lowering blood glucose.
B. This time frame is too late for peak action, as regular insulin's peak typically occurs earlier, between 2 to 4 hours after administration.
C. While this is within the range of insulin’s peak effect, it doesn't account for the full duration of potential hypoglycemia. The best window for observing symptoms would extend until 1130.
D. Hypoglycemia is most likely to occur during the peak action of the insulin, which is earlier, not this extended time frame.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Milk contains calcium, which can interfere with the absorption of levothyroxine and decrease its effectiveness. It is not recommended to take it with milk.
B. Levothyroxine should be taken on an empty stomach for optimal absorption. Taking it with food, especially on a full stomach, may reduce its effectiveness.
C. While vitamin C in orange juice may enhance the absorption of some medications, it is not recommended for levothyroxine. It is best absorbed when taken with water, not juice.
D. Two hours before a meal Levothyroxine should be taken on an empty stomach, ideally 30 to 60 minutes before breakfast, but taking it at least two hours before a meal ensures the best absorption and avoids food interactions.
Correct Answer is ["30"]
Explanation
- 12 units of insulin should be delivered every hour.
- In 250 mL of the IV solution, there are 100 units of insulin.
- If 100 units are in 250 mL, then to find the volume for 1 unit, we divide the total volume by the total units: 250 mL ÷ 100 units = 2.5 mL/unit
- Since we need to deliver 12 units per hour, and each unit is in 2.5 mL, we multiply the desired units per hour by the volume per unit: 12 units/hour × 2.5 mL/unit = 30 mL/hour
- Rounding to the nearest whole number, the IV pump should be programmed to deliver 30 mL per hour.
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