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 ["A","B"]

Explanation

A. BUN is a waste product of protein metabolism that is excreted by the kidneys. Elevated BUN levels can indicate impaired kidney function or kidney dysfunction. Since kidney dysfunction can affect the elimination of waste products, monitoring BUN is essential to assess the kidney's ability to filter and excrete waste.
B. Creatinine is a waste product of muscle metabolism that is filtered out by the kidneys. It is one of the most reliable indicators of kidney function. When kidney function is impaired, creatinine levels rise in the blood because the kidneys are unable to excrete it efficiently.
C. Lipid panel: This is unrelated to the metabolism of medications.
D. Blood glucose: Blood glucose levels are important for diabetes management but are not directly impacted by kidney dysfunction in relation to medication response.

A. Distribution B. Metabolism C. Absorption D. Excretion

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.

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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

A nurse is caring for a patient with kidney dysfunction. The nurse understands that kidney dysfunction can lead to an increase in the duration and intensity of a medication's response. Which lab tests should the nurse monitor? Select all that apply

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

Explanation

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

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