Four patients are due to receive their morning insulin and breakfast will be served in 15 minutes. Which patient should the nurse administer insulin to first?
The patient with a pre-meal glucose level of 90 mg/dL, scheduled to receive 10 units of NPH.
The patient with a pre-meal glucose level of 70 mg/dL, scheduled to receive 2 units of aspart (Novolog) insulin.
The patient with a pre-meal glucose level of 120 mg/dL, scheduled to receive 15 units of NPH.
The patient with a pre-meal glucose level of 170 mg/dL, scheduled to receive 5 units of lispro (Humalog) insulin.
The Correct Answer is D
Choice A rationale
The patient with a pre-meal glucose level of 90 mg/dL, scheduled to receive 10 units of NPH, is not in immediate need of insulin. NPH is an intermediate-acting insulin, and a glucose level of 90 mg/dL is within the normal range.
Choice B rationale
The patient with a pre-meal glucose level of 70 mg/dL, scheduled to receive 2 units of aspart (Novolog) insulin, is not in immediate need of insulin. A glucose level of 70 mg/dL is at the lower end of the normal range, and aspart is a rapid-acting insulin.
Choice C rationale
The patient with a pre-meal glucose level of 120 mg/dL, scheduled to receive 15 units of NPH, is not in immediate need of insulin. A glucose level of 120 mg/dL is slightly elevated, but NPH is an intermediate-acting insulin.
Choice D rationale
The patient with a pre-meal glucose level of 170 mg/dL, scheduled to receive 5 units of lispro (Humalog) insulin, should receive insulin first. A glucose level of 170 mg/dL is significantly elevated, and lispro is a rapid-acting insulin, making it the most appropriate choice for immediate administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Nicotine is a stimulant and can increase heart rate and blood pressure. However, it does not specifically interact with barbiturates.
Choice B rationale
Alcohol should be avoided when taking barbiturates. Both alcohol and barbiturates are CNS depressants, and using them together can lead to additive effects, increasing the risk of sedation and respiratory depression.
Choice C rationale
There is no specific interaction between bananas and barbiturates.
Choice D rationale
Caffeine is a stimulant and can counteract the sedative effects of barbiturates. However, moderate caffeine consumption is usually considered safe.
Correct Answer is C
Explanation
Choice A rationale
Barbiturates are a class of drugs primarily used as sedatives and anesthetics. They are not typically used in the treatment of depression or anxiety disorders.
Choice B rationale
Rebound insomnia is a term used to describe a condition where a person experiences insomnia as a withdrawal symptom after discontinuing use of a sleep aid, particularly those in the benzodiazepine family. It is not a type of medication used to treat depression or anxiety disorders.
Choice C rationale
Antidepressants are indeed used for the treatment of depression and a range of anxiety disorders including panic, social phobia, and post-traumatic stress disorder. They work by increasing the levels of certain chemicals in the brain, such as serotonin, norepinephrine, and dopamine, which are involved in mood regulation.
Choice D rationale
Anxiolytics are a class of medications used to treat anxiety disorders. However, they are not typically used to treat depression.
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