The nurse attended a staff education conference about insulin therapy for diabetic management. Which of the following statements by the nurse would indicate that more education is needed?

"Bedtime snacks are provided to prevent hypoglycemic reaction at night."

"Food should be provided to the client at the peak action time of the insulin."

"NPH and regular insulin can be combined in one syringe by first drawing up the NPH.

"Clients should be provided information about hypoglycemia and its management.

Answer and Explanation

The Correct Answer is B

A. Bedtime snacks are often recommended for clients using insulin to help prevent nighttime hypoglycemia, especially if they are taking insulin that has a peak action during the night (e.g., NPH insulin).
B. The timing of food intake should not necessarily coincide with the peak action of the insulin. For example, rapid-acting insulins should be given around meal times, but the timing of food isn't strictly tied to the insulin peak. It's more important to match the insulin to meal timing to help with glucose control.
C. When mixing NPH (a longer-acting insulin) and regular insulin (a shorter-acting insulin), the correct technique is to draw up the regular insulin first to avoid contamination of the regular insulin with the NPH insulin, which is cloudy.
D. Educating clients about the signs, symptoms, and management of hypoglycemia is essential to safe insulin therapy.

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Correct Answer is A

Explanation

A. Regular insulin typically reaches its peak action 2 to 4 hours after administration. Since the insulin was given at 0730, the nurse should be most alert for signs of hypoglycemia between 0930 and 1130 when the insulin is most effective in lowering blood glucose.
B. This time frame is too late for peak action, as regular insulin's peak typically occurs earlier, between 2 to 4 hours after administration.
C. While this is within the range of insulin’s peak effect, it doesn't account for the full duration of potential hypoglycemia. The best window for observing symptoms would extend until 1130.
D. Hypoglycemia is most likely to occur during the peak action of the insulin, which is earlier, not this extended time frame.

A. Alcohol withdrawal B. Genetic predisposition C. Tension headaches D. Prolonged hypoxemia E. Advanced age

Correct Answer is C

Explanation

A. Alcohol withdrawal is a known risk factor for seizures. It can lead to withdrawal seizures, especially if the client has been drinking heavily and abruptly stops or reduces alcohol consumption.
B. A genetic predisposition can increase the risk of seizures. Certain genetic conditions, such as epilepsy, can increase the likelihood of experiencing seizures.
C. Tension headaches are not typically considered a risk factor for seizures. While headache disorders like migraines can sometimes be associated with seizures, tension headaches are generally not linked to an increased risk of seizure activity.
D. Prolonged hypoxemia (low oxygen levels) can lead to brain injury and is a well-established risk factor for seizures. When the brain does not receive enough oxygen, it can trigger seizure activity.
E. Older adults are at a higher risk for seizures, often due to conditions such as stroke, brain tumors, or age-related changes in the brain that can affect electrical activity.

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The nurse attended a staff education conference about insulin therapy for diabetic management. Which of the following statements by the nurse would indicate that more education is needed?

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Naxlex Comprehensive Predictor Exams

A client receives 8 units of regular insulin at 0730. When should the nurse should be most alert for signs and symptoms of hypoglycemia?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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