Insulin glargine is prescribed for a hospitalized patient who has diabetes. When will the nurse expect to administer this drug?
In the morning and at 4:00 PM
Approximately 15 to 30 minutes before each meal
After meals and at bedtime
Once daily at bedtime
The Correct Answer is D
Choice A reason: Insulin glargine is a long-acting insulin given once daily, not twice daily. Morning and 4:00 PM dosing is typical for intermediate-acting insulins, so this incorrect for glargine’s schedule.
Choice B reason: Rapid-acting insulins are given before meals, not glargine, which provides basal coverage. Glargine is dosed once daily, so this is incorrect.
Choice C reason: Post-meal or after meals and bedtime dosing does not suit glargine’s 24-hour action. It’s given once daily, typically at bedtime, so this is incorrect for the administration timing.
Choice D reason: Insulin glargine is administered once daily, often at bedtime, to provide steady basal insulin coverage for 24 hours. This aligns with its pharmacokinetics, making it the correct choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Benzonatate suppresses cough by anesthetizing stretch receptors in the respiratory tract, reducing the cough reflex. It acts locally on nerve endings in the lungs and pleura, effectively decreasing cough frequency without systemic opioid effects, making it an appropriate choice for cough suppression.
Choice B reason: Guaifenesin is an expectorant, promoting mucus clearance by thinning secretions, not suppressing the cough reflex. It facilitates productive coughing rather than inhibiting it, making it ineffective for cough suppression and an incorrect choice for this indication in managing cough symptoms.
Choice C reason: Dextromethorphan suppresses cough by acting on the medulla’s cough center, reducing the urge to cough. As a non-opioid antitussive, it effectively controls non-productive cough without significant respiratory depression, making it a suitable and correct choice for cough suppression in various conditions.
Choice D reason: Codeine, an opioid, suppresses cough by acting on the central nervous system’s cough center, reducing reflex activity. It’s effective for non-productive cough but carries risks of sedation and dependency, making it a correct but cautiously used choice for cough suppression.
Correct Answer is A
Explanation
Choice A reason: Meperidine, an opioid, crosses the placenta, risking neonatal respiratory depression. Monitoring breathing is critical post-delivery, making this the correct observation for the infant.
Choice B reason: Hypothyroidism is not associated with meperidine exposure. Opioids primarily affect respiration, so this is irrelevant and incorrect for the expected effect.
Choice C reason: Tremors and hyperreflexia are not typical meperidine effects in newborns; respiratory depression is the primary concern. This is incorrect for the nurse’s focus.
Choice D reason: Congenital anomalies result from chronic exposure, not acute labor analgesia. Meperidine’s immediate risk is respiratory, so this is incorrect for monitoring.
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