The nurse is teaching a patient with type 2 diabetes about intermediate-acting insulin (NPH). Which of the following statements by the patient indicates a need for further teaching?

"This insulin peaks in 6-12 hours."

"I will take this insulin before breakfast."

"This insulin lasts for 12-18 hours."

"I will take this insulin right before eating meals to cover my carbohydrate intake."

Answer and Explanation

The Correct Answer is D

A. The patient’s statement about the peak of NPH insulin being 6-12 hours is correct; it is important to know when to monitor for hypoglycemia.

B. Taking NPH before breakfast is appropriate, as it is typically given in the morning to provide coverage for meals throughout the day.

C. The duration of NPH insulin lasting for 12-18 hours is accurate, which is crucial for understanding how long the patient can expect blood glucose control.

D. NPH insulin should not be taken right before meals as it does not act quickly enough to cover immediate carbohydrate intake. Rapid-acting insulin is typically used for that purpose, indicating a need for further teaching.

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Correct Answer is C

Explanation

A. Hypertension can affect drug distribution to some extent due to altered perfusion but is not the most significant factor impacting distribution, especially for a local condition like cellulitis.

B. Liver dysfunction primarily affects the metabolism and clearance of drugs rather than their distribution, although it may indirectly influence distribution by altering protein binding.

C. Peripheral vascular disease significantly impacts blood flow to the extremities, which can hinder the distribution of the antibiotic to the affected area (the left leg) where the cellulitis is present, leading to reduced drug efficacy.

D. Diverticulitis disease primarily affects the gastrointestinal system and would not directly influence the distribution of an antibiotic used to treat cellulitis in the leg.

A. heart rate B. blood pressure C. cognition D. assessment for signs of bleeding

Correct Answer is B

Explanation

A. heart rate is not the primary concern when assessing the interaction between NSAIDs and loop diuretics.

B. blood pressure is correct; the combination of an NSAID and a loop diuretic can lead to fluid retention, potentially elevating blood pressure. Monitoring blood pressure is crucial in this context.

C. cognition is not directly impacted by the combination of these medications.

D. assessment for signs of bleeding is important when taking NSAIDs due to their effect on platelet function, but the more immediate concern is the potential fluid retention affecting blood pressure.

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The nurse is teaching a patient with type 2 diabetes about intermediate-acting insulin (NPH). Which of the following statements by the patient indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering an antibiotic to a client with a diagnosis of cellulitis of the left leg. Which client condition would have the greatest effect on the drug's distribution?

Correct Answer is C

Explanation

A client's current drug regimen includes a nonsteroidal antiinflammatory drug (NSAID) and a loop diuretic. What assessment should the nurse consequently prioritize?

Correct Answer is B

Explanation

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