The nurse is administering prescribed lispro (Humalog) to a client with diabetes mellitus, type 2. The nurse should administer the insulin at which of the following times?
30 minutes before meals
10 minutes before meals
2 hours before meals
1 hour before meals
The Correct Answer is B
A. Lispro (Humalog) is a rapid-acting insulin, and it should typically be administered about 15 minutes before or right after a meal. Administering it 30 minutes before a meal would be too early for optimal control of blood sugar levels.
B. Lispro is a rapid-acting insulin, and it is generally administered 10 to 15 minutes before a meal. This timing allows the insulin to start working quickly to manage the rise in blood glucose after eating.
C. Administering lispro 2 hours before a meal would not align with the expected timing of its action and could result in suboptimal blood glucose control.
D. While rapid-acting insulin like lispro works quickly, administering it 1 hour before a meal is not ideal. It’s best to administer it closer to the time of the meal to match the peak of insulin activity with the rise in blood sugar from the meal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Foot care is crucial for individuals with diabetes due to the increased risk of neuropathy and poor circulation. Daily inspection for cuts, blisters, or other injuries is vital to prevent infections and complications, such as diabetic ulcers or amputations.
B. Heating pads should not be used by people with diabetes, as they may not be able to feel the heat due to diabetic neuropathy. This increases the risk of burns and injury. It is safer to use other methods for warming hands and feet, such as wearing socks or gloves.
C. People with diabetes are at an increased risk for infections, including pneumonia. The pneumonia vaccine (PPSV23 and/or PCV13) is recommended for individuals with diabetes to help reduce the risk of pneumonia. This statement is false.
D. People with diabetes should have regular eye examinations, but they should be scheduled annually, not every 5 years. Diabetes can lead to diabetic retinopathy, which can cause vision loss if not monitored and treated promptly. Annual eye exams are recommended to detect any changes early.
Correct Answer is A
Explanation
A. Unable to perform activities of daily living, requires total care, and unable to recognize family members is characteristic of late stage Alzheimer's disease. In this stage, cognitive decline is severe, and clients lose the ability to communicate effectively, recognize loved ones, and carry out basic tasks without assistance.
B. Repeating questions even after reorientation is more typical of early to moderate stages of Alzheimer’s, when short-term memory is significantly affected but overall function is not yet completely lost.
C. Difficulty finding correct words, known as anomia, usually appears in the early to moderate stages and is not specific to the late stage.
D. Impulsive behavior and poor judgment may occur in moderate stages, but in late-stage Alzheimer’s, clients often become non-verbal and immobile rather than impulsive.
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