A type 1 diabetic patient is scheduled to receive their morning dose of aspart (rapid acting) insulin. Which of the following actions should the nurse take?

Clarify the prescription because the insulin should not be administered at this time.

Hold breakfast for one hour after the insulin administration.

Administer insulin when breakfast arrives.

Check the blood glucose immediately after breakfast.

Answer and Explanation

The Correct Answer is C

A. Clarify the prescription because the insulin should not be administered at this time. – Incorrect. Aspart insulin is rapid-acting and should be given with meals to prevent post-meal hyperglycemia.

B. Hold breakfast for one hour after the insulin administration. – Incorrect. Rapid-acting insulin peaks quickly (within 30-90 minutes), so delaying food increases the risk of hypoglycemia.

C. Administer insulin when breakfast arrives. – Correct Answer. Aspart insulin should be given right before or with food to match glucose absorption and prevent hypoglycemia.

D. Check the blood glucose immediately after breakfast. – Incorrect. Blood glucose should be checked before insulin administration to ensure appropriate dosing.

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Correct Answer is B

Explanation

A. Tachycardia does not occur with autonomic dysreflexia.

B. Autonomic dysreflexia is a life-threatening condition caused by a noxious stimulus (e.g., full bladder, constipation) in patients with spinal cord injuries above T6. It leads to severe hypertension and reflex bradycardia.

C. Hypotension is not a symptom; autonomic dysreflexia causes hypertension.

D. Tachycardia and hypotension are more associated with spinal shock rather than autonomic dysreflexia.

A. Give the insulin after the patient has completed 3/4 of their breakfast B. Give the insulin 30 min after breakfast with the patient's other routine medicines. C. Give the insulin at 0730. D. Give the insulin at 0700.

Correct Answer is C

Explanation

A. Incorrect. Regular insulin should be given before a meal to allow time for onset; giving it after eating delays its effect, increasing hyperglycemia risk.

B. Incorrect. Administering regular insulin after breakfast is inappropriate as it may not align with meal-related glucose spikes.

C. Correct. Regular insulin has an onset of 30 minutes. Administering it at 0730 ensures optimal timing for glucose control when breakfast is eaten at 0800.

D. Incorrect. Giving insulin too early (at 0700) increases the risk of hypoglycemia before food intake.

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A type 1 diabetic patient is scheduled to receive their morning dose of aspart (rapid acting) insulin. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse observing a client with autonomic dysreflexia would expect which of the following clinical manifestations?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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