A nurse is teaching a client with diabetes who has a new prescription for insulin glargine detemir. Which instructions should the nurse provide regarding this type of insulin?

Insulin glargine detemir has a duration of 16 to 24 hr.

Insulin glargine detemir has a duration of 24 hr.

Insulin glargine detemir has a duration of 3 to 6 hr.

Insulin glargine detemir has a duration of 6 to 10 hr.

Answer and Explanation

The Correct Answer is A

A. Insulin detemir is a long-acting insulin with an onset of action around 1 to 2 hours and a duration of 16 to 24 hours, depending on the dose and individual response.
B. Insulin glargine typically lasts close to 24 hours, but detemir may not last the full 24 hours in all clients.
C. This describes the action of short-acting insulin, not long-acting.
D. This is more consistent with intermediate-acting insulins like NPH, not long-acting types like detemir.

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Correct Answer is C

Explanation

A. Intermittent claudication is a symptom of arterial insufficiency, not varicose veins.
B. Numbness and tingling suggest nerve involvement, not typical for superficial varicose veins.
C. A common complaint in varicose veins is a feeling of heaviness or aching in the legs due to venous insufficiency and blood pooling.
D. Calf pain on dorsiflexion (Homan's sign) suggests deep vein thrombosis (DVT), not superficial varicose veins.

A. Have the client drink 8 ounces of Coca-Cola. B. Administer 1 mg of glucagon subcutaneously. C. Administer a glucose tablet. D. Obtain a glucose reading using a finger stick

Correct Answer is D

Explanation

A. While Coca-Cola contains sugar and could raise blood glucose, it should not be given without first confirming hypoglycemia through a blood glucose reading.
B. Glucagon is typically reserved for severe hypoglycemia when the client is unconscious or unable to swallow. This client is conscious and able to communicate symptoms.
C. Administering glucose tablets is appropriate after confirming hypoglycemia, not before.
D. The client’s symptoms—anxiety, nervousness, and sweating—are classic signs of hypoglycemia. The nurse’s priority is to obtain a glucose reading via finger stick to assess the client’s current glucose level before initiating treatment.

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A nurse is teaching a client with diabetes who has a new prescription for insulin glargine detemir. Which instructions should the nurse provide regarding this type of insulin?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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