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.

Answer and Explanation

The Correct Answer is B

NPH insulin has an onset of action of about 1 to 2 hours, peaks in 4 to 12 hours, and lasts up to 24 hours. Given the administration at 0700, the onset of action would typically occur between 0800 and 0900. Hypoglycemia is most likely to occur during the onset or peak periods due to the insulin's glucose-lowering effect.

Among the options:

A. 0715: Too early, as NPH insulin's onset is not within 15 minutes.
B. 0800: Within the onset window (1 hour after administration), making it a plausible time to observe for hypoglycemia.
C. 0900: Also within the onset window (2 hours after administration), another reasonable time to monitor.
D. 1000: Slightly beyond the typical onset but still early in the action profile, where hypoglycemia could occur if glucose levels drop.

Since the question asks for the time to observe for hypoglycemia caused by the onset, the earliest time within the onset window is most appropriate. Thus, B. 0800 is the best answer, as it aligns with the start of NPH insulin’s onset period.

Final Answer: B. 0800

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Correct Answer is C

Explanation

The statement “I won’t seal my lips around the mouthpiece and take slow, deep breaths” indicates a need for further teaching.
When using a nebulizer, the client should place the mouthpiece in their mouth between their teeth and close their lips around it 1.
They should also take slow, deep breaths to ensure that the medication is properly inhaled 1.
Choice A is incorrect because washing the mouthpiece with warm soapy water each day is a recommended action 2.
Choice B is incorrect because storing the nebulizer at room temperature is acceptable.
Choice D is incorrect because it is not necessary to keep medication in the nebulizer at all times.

A. Apply a tourniquet just above the wound. B. Place the client in a modified Trendelenburg position. C. Apply pressure directly to the wound. D. Settle the client in a reclining position.

Correct Answer is C

Explanation

This is the first step in controlling bleeding and preventing hematoma formation 1.
Applying direct pressure to the wound with a sterile gauze or a clean cloth can help stop the bleeding 2.

Choice A is not the best answer because a tourniquet should only be used as a last resort to control life-threatening bleeding from a limb 2.
Choice B is not the best answer because placing the client in a modified Trendelenburg position is not necessary for this situation.
Choice D is not the best answer because settling the client in a reclining position is not necessary for this situation.

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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?

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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?