A client with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client’s occupation requires long international flights, and the client does not want to administer insulin on the plane.
What kind of insulin would best meet this client’s needs?

Aspart.

Lispro.

Glulisine.

Glargine.

Answer and Explanation

The Correct Answer is D

Glargine is a long-acting insulin that can provide a steady level of insulin for up to 24 hours. This would be suitable for a client who does not want to administer insulin on the plane, as they would only need one injection per day.

Choice A. Aspart is wrong because aspart is a rapid-acting insulin that has a peak effect within 1 to 3 hours and lasts for 3 to 5 hours.

This would require frequent injections and monitoring of blood glucose levels.

Choice B. Lispro is wrong because lispro is also a rapid-acting insulin that has a similar onset and duration as aspart.

It would not provide adequate coverage for a long international flight.

Choice C. Glulisine is wrong because glulisine is another rapid-acting insulin that has an onset of 15 minutes and a duration of 2 to 4 hours.

It would also require multiple injections and frequent blood glucose checks.

Normal ranges for blood glucose levels are 70 to 130 mg/dL before meals and less than 180 mg/dL after meals.

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Correct Answer is A

Explanation

Ginseng is a herbal supplement that may have some antidiabetic effects, such as improving glucose tolerance and insulin resistance. However, ginseng may also interact with certain diabetes medications, especially insulin and sulfonylureas, and cause hypoglycemia (low blood sugar)2. Therefore, the nurse should inform the client about this potential risk and advise them to consult their doctor before taking ginseng.

Choice B is wrong because there is a reason ginseng cannot be taken by people with diabetes without medical supervision.

As explained above, ginseng may lower blood glucose levels too much and cause hypoglycemia.

Choice C is wrong because there is some research to indicate what effect ginseng will have on diabetes.

Several studies have shown that ginseng may have beneficial effects on blood glucose control, but also some adverse effects such as hypoglycemia.

Choice D is wrong because ginseng does not increase the risk for high blood

A. St. John’s wort. B. Alcohol. C. Calcium channel blockers. D. Selective serotonin reuptake inhibitors (SSRIs).

Correct Answer is B

Explanation

The nurse should caution the student to avoid using alcohol with trimethobenzamide because this combination can cause side effects such as drowsiness, dizziness, and impaired reactions. Alcohol can also worsen the symptoms of nausea and vomiting.

Choice A is wrong because St.

John’s wort is a herbal supplement that is used to treat depression and anxiety.

It does not interact with trimethobenzamide.

Choice C is wrong because calcium channel blockers are a class of medications that are used to treat high blood pressure and heart problems.

They do not interact with trimethobenzamide.

Choice D is wrong because selective serotonin reuptake inhibitors (SSRIs) are a class of medications that are used to treat depression and anxiety.

They do not interact with trimethobenzamide.

Trimethobenzamide is an antihistamine that works by blocking the D receptor in the brain and suppressing the chemoreceptor trigger zone that causes nausea and vomiting.

It is available as an oral capsule or an intramuscular injection.

It can cause side effects such as skin rash, tremors, parkinsonism, and jaundice.

It should not be used in children or people with liver or kidney disease.

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A client with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client’s occupation requires long international flights, and the client does not want to administer insulin on the plane. What kind of insulin would best meet this client’s needs?

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Naxlex Comprehensive Predictor Exams

A client with type 2 diabetes presents at the clinic for a routine follow-up appointment. The client asks the nurse whether he or she can take the herbal supplement ginseng. What is the correct response by the nurse?

Correct Answer is A

Explanation

A college student with migraine headaches that cause nausea and vomiting has been prescribed trimethobenzamide. The nurse should caution the student to avoid using which substance?

Correct Answer is B

Explanation

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A client with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client’s occupation requires long international flights, and the client does not want to administer insulin on the plane.
What kind of insulin would best meet this client’s needs?