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 A

Explanation

A. Lipodystrophy: Lipodystrophy refers to a localized loss of fat tissue or a change in the distribution of fat tissue due to repeated injections at the same site. In patients with diabetes mellitus, injecting insulin into the same site repeatedly can lead to lipodystrophy, affecting insulin absorption and glycaemic control.
B. Petechiae: Petechiae are small, red or purple spots that appear on the skin due to bleeding under the skin. They are not typically associated with injection site issues but rather with conditions such as thrombocytopenia or blood clotting disorders.
C. Hematoma: Hematoma is a localized collection of blood outside the blood vessels, often resulting from injury or trauma. It can occur at injection sites if a blood vessel is inadvertently punctured during the injection process.
D. Pustules: Pustules are small, pus-filled lesions on the skin, usually associated with infections such as acne or folliculitis. They are not typically related to injection site issues in patients with diabetes mellitus.

A. A 25-year-old male with arthritic pain B. A 12-year-old male with a normal height to weight ratio C. A 55-year-old female who is 20 pounds overweight D. An 8-year-old female who is developmentally delayed

Correct Answer is C

Explanation

A. A 25-year-old male with arthritic pain: Arthritic pain alone does not significantly increase the risk of Type 2 diabetes unless associated with other risk factors like obesity or inactivity.
B. A 12-year-old male with a normal height to weight ratio: A normal height to weight ratio suggests a healthy weight, reducing the immediate risk for Type 2 diabetes, unless other risk factors are present.
C. A 55-year-old female who is 20 pounds overweight: Being overweight, especially with central adiposity, is a significant risk factor for developing Type 2 diabetes. The risk increases with age, particularly in individuals over 45.
D. An 8-year-old female who is developmentally delayed: Developmental delay is not a direct risk factor for Type 2 diabetes unless associated with obesity or a sedentary lifestyle.

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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?

Nursing Test Bank

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