The patient received regular insulin 10 units subcutaneously at 8:30 PM for a blood glucose level of 253 mg/dL. The nurse plans to monitor this patient for signs of hypoglycemia at which time related to the insulin's peak action?
11:30 PM
10:30 PM to 1:30 AM
12:30 AM to 8:30 AM
8:40 PM to 9:00 PM
The Correct Answer is B
A. While 11:30 PM is within the peak window, monitoring should extend through the entire peak period, not just one point in time.
B. If regular insulin is given at 8:30 PM, the peak action, when the risk of hypoglycemia is highest, would occur between 10:30 PM and 1:30 AM.
C. 12:30 AM to 8:30 AM extends beyond the peak and into the late duration phase.
D. 8:40 PM to 9:00 PM is too early for peak action; this is just after the onset.
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Related Questions
Correct Answer is B
Explanation
A. Limiting alcohol intake is a preventive measure against cancer, particularly breast, liver, and colorectal cancers.
B. Increasing red meat intake, especially processed meats, is associated with a higher risk of cancer, particularly colorectal cancer. It is recommended to limit red and processed meat consumption to reduce cancer risk.
C. Taking a daily walk is a positive health behavior, as physical activity can help reduce the risk of certain types of cancer, including breast, colon, and endometrial cancers.
D. Wearing sunscreen daily is an important measure to prevent skin cancer, including melanoma, by protecting the skin from harmful UV radiation.
Correct Answer is ["A","C","D","E"]
Explanation
A. Type 1 diabetes is not caused by a single recessive gene. It has a genetic component but typically involves multiple genes, with HLA-DR3 and HLA-DR4 being associated with increased risk, and is often triggered by autoimmune reactions.
B. The HLA-DR3 and HLA-DR4 genes are associated with an increased genetic risk for type 1 diabetes, as it is an autoimmune condition that destroys insulin-producing cells in the pancreas.
C. While infections (including viral infections) can sometimes trigger the onset of type 1 diabetes, bacterial infections themselves do not cause the condition. It is autoimmune in nature, where the body attacks its insulin-producing cells.
D. Excessive heat and temperatures do not cause type 1 diabetes. The condition is driven by genetic and autoimmune factors, not environmental ones like heat.
E. Exposure to processing of metals and proteins does not cause type 1 diabetes. The disease is primarily associated with genetic predisposition and autoimmune destruction of pancreatic beta cells.
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