What time of day would a nurse expect to see signs of hypoglycemia in a patient following NPH insulin (intermediate acting) given at 7:30am?

8:00am to 11:00am

2:00pm to 5:00pm

2:00am to 5:00am

10:00pm to 12:00am

Answer and Explanation

The Correct Answer is B

A. 8:00 AM to 11:00 AM. – Incorrect. NPH insulin peaks in 6–14 hours, not within a few hours.

B. 2:00 PM to 5:00 PM. – Correct Answer. NPH insulin peaks around 6–14 hours, making this the most likely time for hypoglycemia.

C. 2:00 AM to 5:00 AM. – Incorrect. This would be the peak time for evening NPH insulin, not morning administration.

D. 10:00 PM to 12:00 AM. – Incorrect. NPH insulin does not peak this late when given in the morning.

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Correct Answer is C

Explanation

A. Milk and turkey slices. – Incorrect. Milk can inhibit iron absorption, and turkey is not a rich source of iron.

B. Fish and cottage cheese. – Incorrect. Cottage cheese is low in iron, and while some fish contain iron, they are not the best sources.

C. Spinach and beef. – Correct Answer. Both are excellent sources of iron, which helps improve hemoglobin levels in iron-deficiency anemia.

D. Yogurt and mozzarella. – Incorrect. Dairy products do not provide significant iron and may inhibit its absorption.

A. Bring fresh-cut flowers to cheer the patient up. B. Take the patient to the cafeteria for meals. C. A cover gown is not necessary when entering the patient's room. D. Do not visit if you have had a recent infection.

Correct Answer is D

Explanation

A. Bring fresh-cut flowers to cheer the patient up. – Incorrect. Fresh flowers should be avoided due to the risk of fungal or bacterial infections in immunocompromised patients.

B. Take the patient to the cafeteria for meals. – Incorrect. Bone marrow transplant patients are at high risk for infection, and leaving the room increases exposure to pathogens.

C. A cover gown is not necessary when entering the patient’s room. – Incorrect. Depending on the hospital’s isolation precautions, visitors may be required to wear gowns and masks to protect the patient.

D. Do not visit if you have had a recent infection. – Correct Answer. Even mild infections can be life-threatening to patients undergoing a bone marrow transplant, so visitors should stay away if they are unwell.

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What time of day would a nurse expect to see signs of hypoglycemia in a patient following NPH insulin (intermediate acting) given at 7:30am?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan?

Correct Answer is C

Explanation

What information will the nurse provide to the visitors of a patient who is to receive a bone marrow transplant?

Correct Answer is D

Explanation

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