Nursing management for a patient with a bowel obstruction includes which of the following interventions?

Choice A rationale

Lispro (Humalog) is a rapid-acting insulin used for mealtime glucose control. It has an onset of 15 minutes and peaks within 30 minutes to 1 hour, making it unsuitable for basal dosing.

Choice B rationale

Aspart (NovoLog), another rapid-acting insulin, is similar to lispro in its onset and peak times. It is also used for mealtime glucose control, not basal glucose regulation.

Choice C rationale

Regular insulin (Humulin R) is a short-acting insulin with an onset of 30 minutes to 1 hour and a peak of 2 to 4 hours. It cannot provide the steady basal glucose control required for 24-hour coverage.

Choice D rationale

Glargine (Lantus) is a long-acting insulin that provides consistent basal glucose control with no pronounced peak. It is designed for once-daily dosing to maintain stable glucose levels over 24 hours, meeting the requirements for basal dosing. .

Choice A rationale

A bland diet reduces gastric irritation by avoiding substances that stimulate acid secretion or exacerbate nausea. It includes foods like rice, bananas, and toast that are easy to digest and less likely to provoke symptoms of nausea or vomiting.

Choice B rationale

Opposing the bland diet recommendation for severe nausea ignores scientific evidence that supports its use. Providing a diet rich in spices or acidic foods can worsen symptoms by irritating the gastrointestinal tract further. .