The nurse is reviewing the patient's prescribed insulin regimen. The nurse notes that the physician has ordered a long-lasting insulin. Which medication will best meet this criteria?
Regular
insulin glargine (Lantus)
insulin aspart (NovoLog)
insulin lispro (Humalog)
The Correct Answer is B
A. Regular: Regular insulin is a short-acting insulin, typically used for mealtime glucose control. It has a short duration of action (4-6 hours) and is not considered long-lasting insulin.
B. Insulin glargine (Lantus): Insulin glargine (Lantus) is a long-acting insulin that provides a steady release of insulin over a 24-hour period, without a peak, making it ideal for basal insulin coverage. It is designed to maintain blood glucose levels consistently throughout the day and night.
C. Insulin aspart (NovoLog): Insulin aspart is a rapid-acting insulin used primarily for mealtime glucose control, and it has a short duration of action, usually around 2-4 hours.
D. Insulin lispro (Humalog): Insulin lispro is a rapid-acting insulin that works quickly to control post-meal blood sugar but is not long-lasting. It typically lasts for about 3-5 hours.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "You can stop the medication if your symptoms have improved.": Hypothyroidism is a chronic condition, and levothyroxine is typically required lifelong. Stopping the medication without medical guidance could lead to the return of symptoms and complications.
B. "You need to stay on this medication until you become pregnant.": Stopping the medication solely when planning for pregnancy is not the correct advice. Lifelong treatment is usually necessary for hypothyroidism, regardless of pregnancy status.
C. "You need to stay on the medication for at least 1 year before a decision about stopping it can be made.": There is no set timeframe for stopping levothyroxine based on a specific duration. The decision to stop the medication should be based on medical evaluation.
D. Levothyroxine is required for lifelong management of hypothyroidism. Even if symptoms improve, the thyroid gland does not typically recover its ability to produce thyroid hormones, and stopping the medication can lead to the return of hypothyroid symptoms.
Correct Answer is D
Explanation
A. Give the client juice or hard candy immediately: While giving juice or hard candy is an appropriate treatment for hypoglycemia, assessing the blood glucose level first is crucial to confirm that the symptoms are indeed due to low blood sugar.
B. Call the health care provider: While it's important to notify the healthcare provider if the situation worsens or if there's a concern about the client's safety, the first priority is to assess the blood glucose level and take immediate action to treat the hypoglycemia.
C. Have the client lie down and see if symptoms subside: Lying down does not address the underlying cause of hypoglycemia. The client may need glucose to raise their blood sugar levels, so this is not the most effective first action.
D. Assess the blood glucose level, and administer glucose in the most appropriate form: Assessing the blood glucose level will confirm whether the symptoms are indeed due to hypoglycemia, and then the nurse can proceed with administering glucose in the most appropriate form (such as oral glucose, juice, or glucose tablets).
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