A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse to plan to offer a snack?

1500

0730

0900

1230

Answer and Explanation

The Correct Answer is A

A. NPH insulin is an intermediate-acting insulin that peaks 6-8 hours after administration. Offering a snack at 1500 helps prevent hypoglycemia during the peak action of the insulin.
B. 0730 is too soon after the insulin administration, and the peak effect has not occurred yet.
C. 0900 is still early in the insulin's action, and hypoglycemia is unlikely at this time.
D. 1230 is during the early stages of NPH insulin's action, but hypoglycemia typically does not occur until the peak time later in the day.

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Correct Answer is D

Explanation

A. Dorsal recumbent is not an ideal position after a thyroidectomy due to the risk of airway obstruction.
B. Supine position does not provide optimal airway protection post-surgery.
C. Sims' position is not recommended for clients recovering from a thyroidectomy as it could affect breathing and circulation.
D. Fowler’s position (head of the bed elevated 45 to 90 degrees) is the best position post-thyroidectomy to reduce tension on the suture line and to facilitate breathing by decreasing swelling around the surgical site.

A. Recent viral infection B. Triglyceride level of 100 mg/dL C. Blood glucose of 98 mg/dL D. Sedentary lifestyle

Correct Answer is D

Explanation

A. A recent viral infection is a potential trigger for type 1 diabetes, not type 2.
B. A triglyceride level of 100 mg/dL is within normal limits and does not increase the risk for type 2 diabetes.
C. A fasting blood glucose of 98 mg/dL is also within normal limits and does not indicate a risk for diabetes.
D. A sedentary lifestyle is a major risk factor for developing type 2 diabetes due to reduced physical activity, which contributes to insulin resistance and weight gain.

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A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse to plan to offer a snack?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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