A nurse is teaching diabetic clients about the use of insulin. For which of the following types of insulin should the nurse tell the clients to expect an onset of 15 to 30 minutes?
Insulin glargine (Lantus)
Glucagon (Glucagen)
Glipizide (Glucotrol)
Insulin lispro (Humalog)
The Correct Answer is D
A. Insulin glargine (Lantus): This is a long-acting insulin, with no pronounced peak and a slow onset, typically around 1-2 hours.
B. Glucagon (Glucagen): This is not an insulin; it's used to treat severe hypoglycemia.
C. Glipizide (Glucotrol): This is an oral medication used to stimulate insulin secretion, not an insulin itself.
D. Insulin lispro (Humalog): Insulin lispro is a rapid-acting insulin with an onset of 15 to 30 minutes.
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Related Questions
Correct Answer is C
Explanation
A. A blood potassium level of 3.9 mEq/L is normal and does not require intervention.
B. Urine output of 500 mL in 5 hours is not concerning and is within the expected range.
C. A blood potassium level of 8 mEq/L is dangerously high, indicating hyperkalemia, which can lead to life-threatening arrhythmias.
D. Urine output of 200 mL in 4 hours could be a concern for dehydration or renal issues, but it is not directly related to spironolactone use.
Correct Answer is B
Explanation
A. Metformin is an oral medication used to manage blood glucose in type 2 diabetes. It would not be used in an emergency situation like hypoglycemia.
B. Glucagon is a hormone used to treat severe hypoglycemia by stimulating the liver to release glucose into the bloodstream. It is the appropriate treatment for hypoglycemia with a blood glucose level of 30 mg/dL.
C. Glipizide is an oral medication and is not used to treat acute hypoglycemia. In fact, it could worsen hypoglycemia if taken incorrectly.
D. Administering insulin would worsen hypoglycemia, as it lowers blood glucose levels. The client needs glucose, not more insulin.
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