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A nurse is caring for a client who has diabetes mellitus and is receiving long-acting daily insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin?

Glargine insulin

NPH insulin

Regular insulin

Insulin aspart

Answer and Explanation

The Correct Answer is A

A. Glargine insulin is a long-acting insulin that provides consistent basal glucose control for up to 24 hours.

B. NPH insulin is intermediate-acting, not long-acting.

C. Regular insulin is short-acting, used for meal coverage or acute hyperglycemia.

D. Insulin aspart is rapid-acting, used for postprandial glucose control.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","E","F"]

Explanation

Capillary refill 4 seconds: A prolonged capillary refill time of more than 2 seconds may indicate poor perfusion, possibly due to dehydration or circulatory compromise. This warrants immediate follow-up to assess for potential dehydration or shock.

Hyperactive bowel sounds: This may indicate gastrointestinal distress, such as diarrhea or irritation.

Diaper area erythema: Diaper rash is common in toddlers, particularly with diarrhea. Extremities cool: Cool extremities can be a sign of poor peripheral circulation, often associated with dehydration or developing hypovolemic shock. Immediate intervention is needed to address potential circulatory issues.

Reports no tears: The absence of tears, especially in a toddler, may suggest significant dehydration. This is a concerning sign and requires immediate follow-up to assess the child's hydration status and consider interventions, such as IV fluids or electrolyte management.

Lethargic: The child's lethargy, especially after vomiting and with decreased responsiveness, raises concern for potential dehydration, electrolyte imbalance, or a worsening condition. Lethargy in a toddler requires prompt evaluation and intervention to prevent further deterioration.

A. Client reports a pain level of 6 on a scale from 0 to 10 B. Excoriation of the skin on the neck and chest C. Xerostomia D. Dysphagia

Correct Answer is D

Explanation

A. Pain level of 6: Important but not life-threatening.

B. Excoriation: Requires treatment but is not the priority.

C. Xerostomia: Manageable with supportive care.

D. Dysphagia: Can lead to aspiration, malnutrition, or airway compromise and requires immediate attention.

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Body Systems	Findings
Respiratory	Respiratory rate 26/min
Cardiovascular	Heart rate 112/min Capillary refill 4 seconds
Gastrointestinal	Hyperactive bowel sounds
Integumentary	Diaper area reddened with erythema noted Extremities cool Reports no tears
Neurologic	Lethargic

A nurse is caring for a client who has diabetes mellitus and is receiving long-acting daily insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following findings should the nurse identify as the priority?

Correct Answer is D

Explanation

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