A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus.

Which of the following actions should the nurse plan to take?

Inject insulin lispro 15 min before a meal.

Monitor the client for polyuria after the insulin lispro injection.

Check the expiration date after the insulin lispro specification.

Administer using a syringe with no washing.

Answer and Explanation

The Correct Answer is A

Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours1.
Therefore, it should be injected 15 minutes before a meal2.
Choice B is incorrect because polyuria (frequent urination) is a symptom of high blood sugar levels, not a direct result of insulin lispro injection.
Choice C is incorrect because checking the expiration date should be done before administering any medication, not after.
Choice D is incorrect because insulin lispro should be administered using a clean syringe and proper hygiene practices should be followed to prevent infection.

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Correct Answer is A

Explanation

The client should remove the used patch with medication areas to the inside and discard it in a closed receptacle 1.
Choice B is incorrect because the nitroglycerin patch should not be kept in place for 24 hours per day.
Instead, it should be worn for 12 to 14 hours and then removed 12.
Choice C is incorrect because while it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1, there is no specific instruction to cleanse excess hair from the skin before applying the patch.
Choice D is incorrect because a second patch should not be applied if angina pain occurs.
Nitroglycerin transdermal patches are used to reduce the number of angina attacks over a long time and will not relieve an attack that has already started because it works too slowly 1.
Instead, the client should check with their doctor if they also need a fast-acting medicine to relieve the pain of an angina attack 1.

A. Grapefruit. B. Spinach. C. Broccoli. D. Carrots.

Correct Answer is A

Explanation

The nurse should instruct the patient to avoid taking verapamil with grapefruit.
Studies have demonstrated an interaction between verapamil and grapefruit juice, which is likely due to an inhibition of intestinal metabolism resulting in increased oral bioavailability1.
This means that grapefruit can interfere with the enzymes that break down verapamil in your digestive system, potentially leading to dangerous health problems2.
Choices B, C, and D are incorrect because there is no known interaction between verapamil and spinach, broccoli, or carrots.

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A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse plan to take?

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Naxlex Comprehensive Predictor Exams

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A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus.

Which of the following actions should the nurse plan to take?