The nurse needs to monitor a client's blood sugar after administration of insulin regular (Humulin R). When does the nurse expect to assess the client's blood sugar based on the peak action of the medication?

In 15 to 30 minutes

In 1 to 2 hours

In 4 to 6 hours

In 2 to 4 hours

Answer and Explanation

The Correct Answer is D

A. In 15 to 30 minutes: This is the onset time for regular insulin, not the peak. Blood sugar monitoring during this period may not yet reveal the full effect of the insulin.

B. In 1 to 2 hours: This is too early for the peak of regular insulin. Hypoglycemia risk is lower during this period compared to the 2 to 4-hour peak window.

C. In 4 to 6 hours: This is nearing the end of the action duration for regular insulin, so monitoring blood sugar at this time would be less effective for identifying hypoglycemia risk at the peak.

D. In 2 to 4 hours: This is the peak action time for regular insulin, when blood glucose should be monitored closely for potential hypoglycemia.

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Correct Answer is B

Explanation

A. Penicillin: Penicillin is ineffective against MRSA because it's resistant to this class of antibiotics.
B. Vancomycin: This is a common antibiotic used to treat MRSA infections.
C. Streptomycin: While used for some bacterial infections, streptomycin is not typically the first choice for MRSA.
D. Kanamycin (Kantrex): Kanamycin can be an option for some MRSA strains, but vancomycin is often preferred

A. Increase insulin production by the pancreas B. Increase insulin secretion from the pancreas C. Decrease the amount of glucagon produced by the pancreas D. Decrease the uptake of glucose by the body's cells

Correct Answer is B

Explanation

A. Increase insulin production by the pancreas: This is incorrect because incretin enhancers don't increase the production of insulin itself but rather enhance the secretion of insulin in response to meals.
B. Increase insulin secretion from the pancreas: This is correct. Incretin enhancers (e.g., DPP-4 inhibitors or GLP-1 receptor agonists) work by amplifying the effect of incretins, which are hormones that increase insulin secretion in response to meals.
C. Decrease the amount of glucagon produced by the pancreas: This is partly true but not the primary mechanism. Incretins do reduce glucagon release, which helps lower blood glucose, but the main action is to increase insulin secretion.
D. Decrease the uptake of glucose by the body's cells: This is incorrect. Incretin enhancers do not work by decreasing glucose uptake by cells; rather, they enhance insulin secretion which in turn helps cells to uptake glucose.

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The nurse needs to monitor a client's blood sugar after administration of insulin regular (Humulin R). When does the nurse expect to assess the client's blood sugar based on the peak action of the medication?

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