A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse to plan to offer a snack?

1500

0730

0900

1230

Answer and Explanation

The Correct Answer is A

A. NPH insulin is an intermediate-acting insulin that peaks 6-8 hours after administration. Offering a snack at 1500 helps prevent hypoglycemia during the peak action of the insulin.
B. 0730 is too soon after the insulin administration, and the peak effect has not occurred yet.
C. 0900 is still early in the insulin's action, and hypoglycemia is unlikely at this time.
D. 1230 is during the early stages of NPH insulin's action, but hypoglycemia typically does not occur until the peak time later in the day.

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Correct Answer is D

Explanation

A. Decreased calcium level is incorrect. Hyperparathyroidism leads to increased calcium levels (hypercalcemia) due to excessive parathyroid hormone (PTH), which increases calcium release from bones, absorption in the intestines, and reabsorption in the kidneys.

B. Decreased parathyroid hormone level is incorrect. In hyperparathyroidism, PTH levels are elevated, not decreased, due to excessive secretion by the parathyroid glands.

C. Increased phosphate level is incorrect. PTH causes renal phosphate excretion, leading to low or normal phosphate levels, rather than increased levels.

D. Increased magnesium level is correct. Parathyroid hormone increases magnesium reabsorption in the kidneys, leading to elevated magnesium levels in hyperparathyroidism.

A. "Test your blood glucose level every 6 hours." B. "Limit juices, soda, and gelatin." C. "Administer your usual daily dose of insulin." D. "Report a blood glucose level greater than 300."

Correct Answer is D

Explanation

A. Blood glucose levels should be checked every 3 to 4 hours during illness, not every 6 hours, due to the risk of hyperglycemia or diabetic ketoacidosis (DKA).
B. Juices, soda, and gelatin are allowed during illness as they provide quick carbohydrates, especially if the client is unable to eat solid foods.
C. The client may need to adjust insulin dosages based on blood glucose readings during illness, rather than simply administering the usual dose.
D. The nurse should instruct the client to report a blood glucose level greater than 300 mg/dL because this could indicate DKA or the need for more aggressive treatment.

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A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse to plan to offer a snack?

Nursing Test Bank

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