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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. The catheter (infusion set) should generally be changed every 2 to 3 days, not every week, to avoid infection or issues with insulin delivery.
B. Insulin pumps are typically filled with rapid-acting insulin (such as insulin aspart, lispro, or glulisine) because it starts working quickly to help control blood glucose levels throughout the day.
C. The pump can be removed temporarily for activities like showering or swimming, though the catheter or infusion set must remain in place. However, clients should not remove the pump for extended periods without consulting their healthcare provider.
D. Clients using an insulin pump should check their blood glucose levels multiple times per day, typically before meals and at bedtime, to ensure accurate insulin dosing and blood sugar control.

A. Identifying the underlying cause. B. Keeping the environment quiet. C. Reorienting the client often. D. Monitoring nutritional intake.

Correct Answer is A

Explanation

A. The priority for treating delirium is to identify and address the underlying cause. Delirium is often a symptom of an acute condition such as infection, metabolic disturbances, medication side effects, or other physical issues. Treating the root cause of delirium can help resolve the condition more effectively.
B. While creating a calm, quiet environment can help reduce confusion and agitation, it is not the most critical aspect of treatment. The main focus should be on addressing the cause of the delirium.
C. Reorienting the client is important for safety and reducing confusion, but it will not be sufficient to resolve the delirium if the underlying cause is not addressed. Reorientation is a supportive measure, not the priority intervention.
D. Although monitoring nutrition is important for overall health, it is not the first priority in treating delirium unless malnutrition is identified as a contributing factor to the delirium.

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A client receives 8 units of regular insulin at 0730. When should the nurse should be most alert for signs and symptoms of hypoglycemia?

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Naxlex Comprehensive Predictor Exams

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