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A nurse is caring for a client who has diabetes mellitus and is receiving long-acting daily insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin?

Glargine insulin

NPH insulin

Regular insulin

Insulin aspart

Answer and Explanation

The Correct Answer is A

A. Glargine insulin is a long-acting insulin that provides consistent basal glucose control for up to 24 hours.

B. NPH insulin is intermediate-acting, not long-acting.

C. Regular insulin is short-acting, used for meal coverage or acute hyperglycemia.

D. Insulin aspart is rapid-acting, used for postprandial glucose control.

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Correct Answer is B

Explanation

A. Assign the AP to ask the client if she has taken her antidiabetic medication today: Incorrect. Assessing medication use is a nursing responsibility and cannot be delegated to an AP.

B. Determine if the AP has the skills to perform the test: The nurse must ensure that the AP is competent to perform the task safely and accurately before delegation, as part of the nurse's responsibility in delegation.

C. Help the AP perform the blood glucose test: Incorrect. The task should be performed independently by the AP if delegated.

D. Have the AP check the medical record for prior blood glucose test results: Incorrect. Reviewing the medical record is a nursing responsibility and not typically delegated to an AP.

A. Plan to monitor the client every 30 min while restrained. B. Request a provider to evaluate the client in person every 36 hr. C. Ensure that the prescription for restraints be renewed every 6 hr. D. Document the client's behavior every 15 min.

Correct Answer is D

Explanation

A. Monitoring every 30 minutes is insufficient; it should be more frequent.

B. Providers must evaluate the client within 1 hour of restraint initiation, not 36 hours.

C. Restraint prescriptions for adults must be renewed every 4 hours, not 6.

D. Documenting the client’s behavior every 15 minutes ensures continuous assessment and compliance with safety protocols.

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System	Findings
General	Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not.. I found the title to the car today, signed over to me.
Physical	Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom. Client reports not wanting to eat anymore. Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min
Affect	Client says, "Why don't you just leave me? I am of no use."

A nurse is caring for a client who has diabetes mellitus and is receiving long-acting daily insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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