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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
“Inject air into the regular insulin first.” When mixing regular insulin and NPH insulin in the same syringe, the nurse should instruct the client to inject air into the NPH insulin vial first, then inject air into the regular insulin vial.
After that, the client should draw up the regular insulin into the syringe first, followed by the NPH insulin.
Choice B is not correct because NPH insulin should not be shaken vigorously as it can damage the insulin molecules.
Choice C is not correct because the regular insulin should be drawn up into the syringe first.
Choice D is not correct because regular insulin is a clear solution and should not appear cloudy.
Correct Answer is A
Explanation
The nurse should inform the charge nurse about her suspicion.
The charge nurse is responsible for managing the unit and can take appropriate action to investigate the matter and ensure that proper procedures are followed.
Choice B is incorrect because reporting the incident to the hospital security department is not the first step that should be taken.
The charge nurse should be informed first and can then decide if further action, such as involving the security department, is necessary.
Choice C is incorrect because it is not appropriate for the nurse to ask assistant personnel (AP) to observe the other nurse’s actions.
This could create a hostile work environment and may not be an effective way to address the issue.
Choice D is incorrect because approaching the other nurse directly to discuss the suspicion may not be the best course of action.
It could create tension and conflict between the two nurses and may not lead to a resolution of the issue.
Instead, informing the charge nurse allows for proper procedures to be followed in addressing the matter.
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