A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes.
At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?
0715.
0800.
0900.
1000.
The Correct Answer is D
NPH insulin is an intermediate-acting insulin that typically starts to work within 1 to 2 hours after injection.
The nurse should observe for hypoglycemia caused by the onset of the medication around 3 hours after administration, which would be around 1000.
Choice A is not correct because it is too soon after administration for the onset of the medication.
Choice B is not correct because it is still too soon after administration for the onset of the medication.
Choice C is not correct because it is still too soon after administration for the onset of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should insert the needle at a 90-degree angle when administering heparin subcutaneously 1.
Choice B is incorrect because the nurse should not massage the injection site after administering the heparin.
Choice C is incorrect because it is not necessary to prepare for a blood test prior to injecting the heparin.
Choice D is incorrect because there is no specific requirement to select a 22-gauge needle for heparin administration.
Correct Answer is A
Explanation
The client’s symptoms of confusion, flushed appearance, and acetone odor on their breath suggest that they may be experiencing diabetic ketoacidosis (DKA), a serious complication of diabetes that occurs when the body produces high levels of ketones.
Treatment for DKA typically involves administering intravenous fluids and insulin to lower blood sugar levels and suppress ketone production 1.
Regular insulin is a fast-acting insulin that can be given intravenously to quickly lower blood sugar levels 1.
Choice B is incorrect because NPH insulin is an intermediate-acting insulin that takes longer to start working and would not be appropriate for treating DKA.
Choice C is incorrect because lispro insulin is a rapid-acting insulin but it is not typically given intravenously.
Choice D is incorrect because glargine insulin is a long-acting insulin that takes several hours to start working and would not be appropriate for treating DKA.
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