The nurse administered 25 units of Regular (Humulin/Novolin) insulin to a patient with type 1 diabetes at 1600, which intervention should the nurse implement?
Ensure the patient eats their bedtime snack.
Check the patient's serum blood glucose level.
Assess the patient for hypoglycemia around 1730.
Serve the patient the supper tray.
The Correct Answer is D
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A. Ensure the patient eats their bedtime snack.: While a bedtime snack can help prevent overnight hypoglycemia, the immediate priority after administering regular insulin at 1600 is to cover the meal corresponding to the insulin dose. The snack alone does not match the timing of insulin action.
B. Check the patient's serum blood glucose level.: Monitoring blood glucose is important, but the key intervention immediately after giving regular insulin is to ensure the patient consumes food to prevent hypoglycemia. Lab checks alone do not provide immediate protection against low blood sugar.
C. Assess the patient for hypoglycemia around 1730.: Regular insulin peaks around 2–4 hours after administration, so assessment at 1730 may be early. While monitoring is necessary, the primary action is to provide a meal to match the insulin’s onset and prevent hypoglycemia.
D. Serve the patient the supper tray.: Administering regular insulin requires concurrent carbohydrate intake to prevent hypoglycemia. Serving the supper tray ensures that the insulin’s action is matched with food, maintaining safe blood glucose levels and preventing immediate
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. parkinsonism: Atropine-like drugs may worsen certain symptoms such as confusion, but they are not absolutely contraindicated in parkinsonism. Some anticholinergic agents are even used to reduce tremors, so this condition does not represent the primary concern.
B. glaucoma: These drugs increase intraocular pressure by causing pupil dilation, which can obstruct aqueous humor outflow. In clients with glaucoma—especially narrow-angle—this can trigger dangerous pressure elevations and worsen vision rapidly.
C. peptic ulcer: Anticholinergics may slow gastric motility, but they do not directly worsen ulcer pathology. Although used cautiously, they are not considered strictly contraindicated in peptic ulcer disease.
D. cirrhosis: Liver disease requires careful medication management, yet atropine-like drugs do not pose a specific prohibitive risk. They may need dose adjustment, but cirrhosis is not a direct contraindication to their use.
Correct Answer is C
Explanation
A. Phenazopyridine HCI (Pyridium): Pyridium is a urinary analgesic used to relieve dysuria but does not treat overactive bladder or incontinence. It addresses discomfort rather than the underlying cause of urgency or frequency.
B. Dimethylsulfoxide (DMSO): DMSO is used intravesically for interstitial cystitis, not for overactive bladder or urge incontinence. Its use is limited and not indicated for typical overactive bladder management.
C. Tolterodine tartrate (Detrol): Tolterodine is an anticholinergic that reduces bladder muscle contractions, decreasing urgency, frequency, and incontinence episodes. It is commonly prescribed for overactive bladder and provides symptomatic relief for urge incontinence.
D. Flavoxate (Urispas): Flavoxate is also an antispasmodic but is less effective than tolterodine for overactive bladder. It may relieve mild bladder spasms but is not the first-line treatment for urge incontinence.
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