The human insulin whose onset of action occurs within ________ minutes is Humalog (Lispro).
60
15
45
30
The Correct Answer is B
A. 60: An onset of action of 60 minutes is characteristic of some types of short-acting insulin (like Regular insulin) but not rapid-acting insulins such as Humalog (Lispro). Rapid-acting insulins are designed to work much faster to cover post-meal glucose excursions.
B. 15: Humalog (insulin lispro) is a rapid-acting insulin analog, with a quick onset of action. Its effects begin within 5 to 15 minutes after subcutaneous injection, making it ideal for administration just before or immediately after a meal to manage the rise in blood glucose.
C. 45: An onset of 45 minutes would be slower than what is expected for a rapid-acting insulin like Humalog. This timeframe is closer to the onset of Regular insulin, which requires administration 30-45 minutes before a meal.
D. 30: While 30 minutes is a common instruction for administering Regular insulin before a meal, it is not the typical onset time for rapid-acting insulins like Humalog (Lispro). Humalog's action begins much sooner, allowing for greater flexibility in meal timing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “I may need calcium replacement after surgery.": After a complete thyroidectomy, there is a risk of damage to the parathyroid glands, which regulate calcium levels. Clients may require calcium supplementation if their parathyroid function is affected.
B. “I need to take thyroid hormones for the rest of my life.": After a complete thyroidectomy, the client will require lifelong thyroid hormone replacement to maintain normal metabolic function, as the body no longer produces thyroid hormones.
C. “After surgery, I won't need to take thyroid medication.": After a complete thyroidectomy, the client will definitely need thyroid hormone replacement for the rest of their life, as their body can no longer produce thyroid hormones naturally.
D. “I can receive pain medication if I feel that I need it.": It is important for the nurse to ensure the client knows that pain management is available as needed after surgery to help with comfort and recovery.
Correct Answer is B
Explanation
A. Decreased free thyroxine index: In Graves' disease, there is an overproduction of thyroid hormones, including thyroxine (T4), leading to an increase in the free thyroxine index, not a decrease. Elevated T4 levels are typical in hyperthyroidism associated with Graves' disease.
B. Decreased thyroid stimulating hormone (TSH): In Graves' disease, the body produces excess thyroid hormones, which suppresses the pituitary gland’s production of TSH. As a result, TSH levels are typically low in Graves' disease.
C. Decreased triiodothyronine (T3): Graves' disease usually results in increased levels of T3 and T4 due to the overactive thyroid. A decrease in T3 would be inconsistent with the hyperthyroid state seen in this disorder.
D. Decreased thyrotropin receptor antibodies: In Graves' disease, there is an increase in thyrotropin receptor antibodies, which stimulate the thyroid to produce excess thyroid hormones. These antibodies are often elevated, not decreased.
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