Which is a rapid-acting insulin with an onset of action of less than 15 minutes?
Insulin glargine (Lantus)
Insulin detemir (Levemir)
Insulin aspart (NovoLog)
Regular insulin (Humulin R)
The Correct Answer is C
Choice A reason: Insulin glargine is a long-acting insulin with an onset of 1–2 hours, providing basal coverage for 24 hours. It does not act rapidly to control postprandial glucose, unlike rapid-acting insulins, making this choice incorrect for the question.
Choice B reason: Insulin detemir is a long-acting insulin with an onset of 1–2 hours, used for steady glucose control. It lacks the rapid onset (<15 minutes) required for immediate postprandial glucose management, making this choice incorrect.
Choice C reason: Insulin aspart is a rapid-acting insulin analog with an onset of 10–15 minutes, peaking in 1–3 hours. It mimics the body’s insulin response to meals, effectively controlling postprandial glucose, making this the correct choice.
Choice D reason: Regular insulin has an onset of 30–60 minutes, slower than rapid-acting insulins. It is used for short-term glucose control but does not meet the <15-minute onset criterion, making this choice incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Rubbing hands together to remove C. diff spores is correct, as mechanical friction during hand washing with soap and water dislodges spores. C. diff spores are resistant to alcohol, requiring physical removal, making this statement appropriate and not requiring further teaching.
Choice B reason: Using soap and water for hand washing is essential for C. diff, as spores resist alcohol-based sanitizers. Soap and water mechanically remove spores, preventing transmission. This statement reflects proper infection control knowledge, indicating no need for further teaching.
Choice C reason: Ensuring family members wash their hands frequently is appropriate, as C. diff spreads via fecal-oral transmission. Hand washing with soap and water prevents spore spread to others, making this statement correct and consistent with infection control protocols.
Choice D reason: Claiming alcohol-based sanitizers are most effective for C. diff is incorrect, as spores are resistant to alcohol. Soap and water are required to physically remove spores. This statement indicates a misunderstanding of C. diff infection control, necessitating further teaching.
Correct Answer is B
Explanation
Choice A reason: A semi-private room near the day room is noisy and stimulating, which can exacerbate manic symptoms like agitation and impulsivity. A calm environment is needed, making this choice inappropriate for a manic client.
Choice B reason: A private room in a quiet location minimizes sensory stimulation, reducing agitation and impulsivity in the manic phase of bipolar disorder. This promotes safety and stabilization, aligning with therapeutic needs, making this the correct choice.
Choice C reason: A private room near the exercise room may increase stimulation due to activity and noise, worsening manic symptoms. A quiet environment is critical for de-escalation, making this choice less suitable than a quiet location.
Choice D reason: A semi-private room near the snack area risks overstimulation and social conflicts during a manic phase. Sharing a room and proximity to activity are inappropriate, making this choice incorrect for managing mania.
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