A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes.

At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

0715.

0800.

0900.

1000.

Answer and Explanation

The Correct Answer is B

NPH insulin has an onset of action of about 1 to 2 hours, peaks in 4 to 12 hours, and lasts up to 24 hours. Given the administration at 0700, the onset of action would typically occur between 0800 and 0900. Hypoglycemia is most likely to occur during the onset or peak periods due to the insulin's glucose-lowering effect.

Among the options:

A. 0715: Too early, as NPH insulin's onset is not within 15 minutes.
B. 0800: Within the onset window (1 hour after administration), making it a plausible time to observe for hypoglycemia.
C. 0900: Also within the onset window (2 hours after administration), another reasonable time to monitor.
D. 1000: Slightly beyond the typical onset but still early in the action profile, where hypoglycemia could occur if glucose levels drop.

Since the question asks for the time to observe for hypoglycemia caused by the onset, the earliest time within the onset window is most appropriate. Thus, B. 0800 is the best answer, as it aligns with the start of NPH insulin’s onset period.

Final Answer: B. 0800

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Free Nursing Study Resources

Correct Answer is A

Explanation

Hypothyroidism can cause a slowed heart rate, also called bradycardia1.

Choice B, Moist skin, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.
Choice C, Blurred vision, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.
Choice D, Insomnia, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.

A. "Don't you trust a female AP assigned to your care?". B. "I understand your request to have only male staff members attend to your care.". C. "It's not appropriate to make such a request. All staff members are trained to provide professional care regardless of gender.". D. "I'll arrange for a male AP to do your personal care since you asked for it.".

Correct Answer is B

Explanation

“I understand your request to have only male staff members attend to your care.” This response acknowledges the client’s request and shows that the nurse is willing to listen to his concerns.
Choice A is not the correct answer because it can be perceived as confrontational and may make the client feel uncomfortable.
Choice C is not the correct answer because it dismisses the client’s request and may make him feel unheard.
Choice D is not the correct answer because it implies that the nurse will immediately comply with the client’s request without further discussion or consideration of other options.

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A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

Nursing Test Bank

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Correct Answer is B

Explanation

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A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes.

At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?