A nurse is preparing to administer short-acting insulin to a patient with type 1 diabetes. Which of the following should the nurse keep in mind regarding this insulin type?

It has a peak effect of 4-6 hours.

It should be given once daily in the evening.

It starts to take effect within 30 minutes to 1 hour after administration.

It has a duration of action of 24 hours.

Answer and Explanation

The Correct Answer is C

A. It has a peak effect of 4-6 hours is incorrect; short-acting insulin typically peaks between 2 to 3 hours after administration.

B. It should be given once daily in the evening is incorrect; short-acting insulin is usually administered before meals, not as a once-daily dose.

C. It starts to take effect within 30 minutes to 1 hour after administration is correct; this timing is critical for managing blood glucose levels during meals.

D. It has a duration of action of 24 hours is incorrect; short-acting insulin usually has a duration of about 3 to 6 hours.

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Correct Answer is ["A","B","C"]

Explanation

A. Auscultating bowel sounds is important because anticholinergic agents can decrease gastrointestinal motility, leading to reduced bowel sounds and potential constipation.

B. Monitoring urine output is crucial as anticholinergics can cause urinary retention, and assessing output helps identify any adverse effects on bladder function.

C. Monitoring heart rate is necessary since anticholinergic agents can cause tachycardia as a side effect, making it important to assess the client’s cardiovascular status.

D. Administering an antidiarrheal agent is not typically indicated, as anticholinergic agents often cause constipation rather than diarrhea.

E. Assessing deep tendon reflexes is not directly relevant to the effects of anticholinergic medications and is not typically prioritized in this context.

A. Suspect an allergic reaction and administer antihistamines. B. Suspect a bleeding complication and notify the healthcare provider. C. Suspect a hypersensitivity reaction and discontinue the heparin immediately. D. Suspect an infection and initiate antibiotic therapy.

Correct Answer is B

Explanation

A. Bruising and bleeding gums are not indicative of an allergic reaction, which would typically present with different symptoms such as rash, itching, or swelling. Administering antihistamines would not address the underlying issue.

B. The development of bruising and bleeding gums in a patient on heparin therapy suggests a bleeding complication, which is a known risk of anticoagulation therapy. The nurse should notify the healthcare provider to assess the situation and possibly adjust treatment or perform further evaluations.

C. While hypersensitivity reactions can occur with medications, the symptoms presented here are more aligned with bleeding complications than with hypersensitivity. Discontinuing heparin without consulting the provider could put the patient at risk for thromboembolic events.

D. The symptoms do not indicate an infection; therefore, initiating antibiotic therapy would not be appropriate in this context.

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A nurse is preparing to administer short-acting insulin to a patient with type 1 diabetes. Which of the following should the nurse keep in mind regarding this insulin type?

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Naxlex Comprehensive Predictor Exams

Which would be important to perform for a client who has received an anticholinergic agent? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A patient receiving heparin therapy develops bruising and bleeding gums. What should the nurse suspect and what is the appropriate action?

Correct Answer is B

Explanation

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