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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Postural hypotension is a potential adverse effect of atenolol.
It can cause dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly12.
Choice A, Constipation, is not the correct answer because it is not a commonly reported adverse effect of atenolol.
Choice C, Dermatitis, is not the correct answer because it is not a commonly reported adverse effect of atenolol.
Choice D, Cardiac arrest, is not the correct answer because it is not a commonly reported adverse effect of atenolol.
Correct Answer is A
Explanation
The nurse should inform the charge nurse about her suspicion.
The charge nurse is responsible for managing the unit and can take appropriate action to investigate the matter and ensure that proper procedures are followed.
Choice B is incorrect because reporting the incident to the hospital security department is not the first step that should be taken.
The charge nurse should be informed first and can then decide if further action, such as involving the security department, is necessary.
Choice C is incorrect because it is not appropriate for the nurse to ask assistant personnel (AP) to observe the other nurse’s actions.
This could create a hostile work environment and may not be an effective way to address the issue.
Choice D is incorrect because approaching the other nurse directly to discuss the suspicion may not be the best course of action.
It could create tension and conflict between the two nurses and may not lead to a resolution of the issue.
Instead, informing the charge nurse allows for proper procedures to be followed in addressing the matter.
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