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 D
Explanation
A. Avoidant personality disorder is characterized by extreme shyness, fear of rejection, and social inhibition—but not necessarily dependence on others for decision-making.
B. Antisocial personality disorder involves a disregard for the rights of others, impulsivity, and lack of remorse. It is not associated with dependence or the need for reassurance.
C. Schizoid personality disorder is marked by emotional detachment and a preference for solitary activities, rather than seeking reassurance or needing help with decisions.
D. Dependent personality disorder is characterized by a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior, and difficulty making everyday decisions without reassurance from others. These features match the client’s behavior.
Correct Answer is C
Explanation
A. HIV infection can cause dementia, but it typically presents with apathy, social withdrawal, and motor dysfunction—not parkinsonian features with fluctuating cognition.
B. Prion disease (such as Creutzfeldt-Jakob disease) presents with rapid progression of dementia, myoclonus, and ataxia, but not typically with parkinsonian features or fluctuating cognition.
C. Lewy body disease is characterized by fluctuating cognition, visual hallucinations, and parkinsonian motor symptoms. These features strongly suggest dementia with Lewy bodies, especially in the context of stroke or neurodegenerative changes.
D. Frontotemporal lobar degeneration primarily affects behavior, personality, and language. Parkinsonian symptoms and fluctuating cognition are not hallmark features.
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