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)

Answer and Explanation

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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Correct Answer is D

Explanation

A. Distribution: This phase involves the transportation of the drug throughout the body after absorption, not removal.
B. Metabolism: This phase involves the chemical alteration of the drug in the body, often in the liver, not its removal.
C. Absorption: This phase involves the drug entering the bloodstream after administration.
D. Excretion: This is the phase where the drug or its metabolites are removed from the body through various routes such as the kidneys, gastrointestinal tract, skin, or lungs.

A. Vomiting B. Restlessness C. Pulmonary edema D. Nausea

Correct Answer is B

Explanation

A. Vomiting is not typically associated with extrapyramidal symptoms (EPS). However, prochlorperazine is used to prevent nausea and vomiting, so vomiting would not be related to EPS.
B. Restlessness (also called akathisia) is a common symptom of EPS, which is a movement disorder that can occur as a side effect of antipsychotic medications like prochlorperazine. Other symptoms may include tremors, rigidity, and bradykinesia.
C. Pulmonary edema is not a sign of EPS. It is a serious condition involving fluid accumulation in the lungs, typically related to heart failure or other serious health conditions.
D. Nausea is not a sign of EPS. While prochlorperazine is used to treat nausea, EPS symptoms typically involve abnormal movements or muscle control issues.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following phases of pharmacokinetics is described as the removal of the drug or its metabolites through the kidneys, gastrointestinal tract, skin, or lungs?

Correct Answer is D

Explanation

A nurse administered prochlorperazine (Compazine) IV to a client three hours ago. The nurse understands that a complication of this medication includes extrapyramidal symptoms (EPS). Which of the following signs indicate EPS?

Correct Answer is B

Explanation

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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?