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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Taking a laxative yesterday is not directly relevant to the IVP procedure and does not typically pose a significant risk.
B. Not eating or drinking since the night before is expected for clients scheduled for an IVP due to the need for fasting prior to the procedure.
C. Reporting painful voiding may indicate a urinary tract issue, but it is not directly related to the IVP itself.
D. Taking metformin before breakfast is concerning because metformin should generally be withheld prior to IV contrast studies due to the risk of lactic acidosis, especially if renal function is compromised.
Correct Answer is D
Explanation
A. A recent viral infection is a potential trigger for type 1 diabetes, not type 2.
B. A triglyceride level of 100 mg/dL is within normal limits and does not increase the risk for type 2 diabetes.
C. A fasting blood glucose of 98 mg/dL is also within normal limits and does not indicate a risk for diabetes.
D. A sedentary lifestyle is a major risk factor for developing type 2 diabetes due to reduced physical activity, which contributes to insulin resistance and weight gain.
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