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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Regular insulin is the only insulin type that can be administered intravenously and is used in DKA treatment.
B. Lantus (glargine) is a long-acting insulin and is not used in acute situations.
C. Mixed insulins (intermediate and short-acting) are not appropriate for IV administration.
D. NPH is an intermediate-acting insulin and is not suitable for IV use.
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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