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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Allergic – An allergic reaction typically presents with itching, rash, and wheezing rather than fever, chills, and hematuria.
B. Hemolytic – Correct Answer. A hemolytic reaction occurs when the immune system attacks transfused red blood cells due to incompatibility. Symptoms include fever, chills, hypotension, back pain, and hematuria (red-tinged urine). This is a medical emergency requiring immediate intervention.
C. Acute pain – Acute pain transfusion reaction is rare and mainly presents with severe chest, back, and joint pain, without fever or hematuria.
D. Febrile – Febrile reactions cause fever and chills but do not typically cause hematuria, which is indicative of hemolysis.
Correct Answer is C
Explanation
A. 8 hr – Incorrect. RBC transfusions must not exceed 4 hours due to the risk of bacterial growth and hemolysis.
B. 6 hr – Incorrect. Blood products should be infused within a maximum of 4 hours to prevent complications.
C. 4 hr – Correct Answer. The maximum infusion time for packed RBCs is 4 hours to reduce the risk of bacterial contamination and infection.
D. 2 hr – Incorrect. While blood is often infused within 2 hours, the maximum safe limit is 4 hours.
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