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. Hypocalcemia usually causes prolonged QT intervals, not shortened.
B. Constipation is more commonly associated with hypercalcemia.
C. Tingling of the extremities (paresthesias) is a classic sign of hypocalcemia.
D. Hypocalcemia typically causes hyperactive deep tendon reflexes, not hypoactive.

A. Apply a heating pad to the shoulder for 15 to 20 minutes. B. Administer morphine sulfate intravenously after diluting with saline. C. Contact the surgeon for an order to x-ray the right shoulder. D. Encourage ambulation.

Correct Answer is D

Explanation

A. Heat can increase inflammation; typically, warm compresses are used later, but early heat application is not standard.
B. While pain medication may be needed, morphine administration requires proper orders and assessment; pain here is often due to trapped CO₂ gas causing diaphragmatic irritation.
C. Shoulder x-ray is not routinely indicated for post-laparoscopic shoulder pain.
D. Encouraging ambulation helps the body absorb the residual CO₂ gas used during surgery, which reduces referred shoulder pain.

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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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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?