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 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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
To calculate the flow rate in gtt/min, you need to divide the total volume of the IV fluid (400 mL) by the total infusion time in minutes (8 hours x 60 minutes/hour = 480 minutes) and then multiply by the drop factor of the manual IV tubing (60 gtt/mL).
This gives you a flow rate of (400 mL / 480 minutes) x 60 gtt/mL = 50 gtt/min.
The other choices are not answers because they are not provided in the question.
Correct Answer is D
Explanation
The nurse should instruct the client to cleanse the skin before applying a nitroglycerin transdermal patch 1.
This is because it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1.
Choice A is incorrect because it is not recommended to use an old patch with medication residue.
Instead, always remove a previous patch before applying a new one 1.
Choice B is incorrect because a nitroglycerin patch should not be kept in place for 72 hours before replacing.
Instead, it should be worn for 12 to 14 hours and then removed 2.
Choice C is incorrect because the patch should not be applied to a hairy area of the skin for better adherence.
Instead, it should be applied to an area with little or no hair 1.
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