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 ["2500"]
Explanation
Calculation:
- Determine the duration of the intake period.
From 0700 to 1900 is 12 hours.
- Convert all fluid intakes to milliliters (mL) using the standard conversions (1 oz = 30 mL, 1 cc = 1 mL, and 1 oz ice chips = 0.5 oz liquid).
8 oz orange juice: 8oz×30mL/oz=240mL
10 cc flush: 10cc×1mL/cc=10mL
8 oz coffee: 8oz×30mL/oz=240mL
1 oz of cream: 1oz×30mL/oz=30mL
12 oz soda: 12oz×30mL/oz=360mL
4 oz chicken broth: 4oz×30mL/oz=120mL
6 oz soda: 6oz×30mL/oz=180mL
8 oz ice chips: 8oz×0.5(conversionfactorforicechips)×30mL/oz=120mL
100 cc/hr IV infusion for 12 hours: 100cc/hr×12hr=1200mL
- Sum all converted fluid intakes.
Total intake (mL) = 240+10+240+30+360+120+180+120+1200
= 2500mL
Correct Answer is D
Explanation
A. Hyperthyroidism: Hyperthyroidism occurs when there is excessive production of thyroid hormones (T3 and T4), often due to conditions such as Graves' disease. This is not consistent with the autoimmune destruction of enzymes needed to produce T3 and T4.
B. Hypothyroidism: Hypothyroidism occurs when there is insufficient production of thyroid hormones (T3 and T4), often due to damage or dysfunction of the thyroid. This does not result from autoimmune destruction of essential enzymes.
C. Cretinism: Cretinism is a form of hypothyroidism that occurs in infants and children, resulting from a lack of thyroid hormone during development. It is not typically associated with the autoimmune destruction of enzymes as described.
D. Hashimoto's thyroiditis: Hashimoto's thyroiditis is an autoimmune disease where the body produces antibodies that attack the thyroid gland, specifically targeting the enzymes necessary for the production of thyroid hormones (T3 and T4). This leads to hypothyroidism.
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