A nurse is collecting data from a client who has diabetes mellitus.
The client is confused, flushed, and has an acetone odor on their breath.
The nurse should anticipate a prescription for which of the following types of insulin to treat the client.
Regular insulin.
NPH insulin.
Lispro insulin.
Glargine insulin.
The Correct Answer is A
The client’s symptoms of confusion, flushed appearance, and acetone odor on their breath suggest that they may be experiencing diabetic ketoacidosis (DKA), a serious complication of diabetes that occurs when the body produces high levels of ketones.
Treatment for DKA typically involves administering intravenous fluids and insulin to lower blood sugar levels and suppress ketone production 1.
Regular insulin is a fast-acting insulin that can be given intravenously to quickly lower blood sugar levels 1.
Choice B is incorrect because NPH insulin is an intermediate-acting insulin that takes longer to start working and would not be appropriate for treating DKA.
Choice C is incorrect because lispro insulin is a rapid-acting insulin but it is not typically given intravenously.
Choice D is incorrect because glargine insulin is a long-acting insulin that takes several hours to start working and would not be appropriate for treating DKA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["94 mL\/hr."]
Explanation
To calculate the flow rate in mL/hr, you need to divide the total volume to be infused by the total infusion time in hours (750 mL / 8 hr = 93.75 mL/hr).
Rounded to the nearest whole number, this is 94 mL/hr.
Correct Answer is C
Explanation
Unopened vials of insulin should be kept in the refrigerator at a temperature between 36°F to 46°F (2°C to 8°C) 1.
This helps to ensure that the insulin remains safe and effective until its expiration date.
Choice A is incorrect because insulin injected into the abdomen is absorbed more rapidly than insulin injected into other areas such as the thigh.
Choice B is incorrect because insulin should not be shaken vigorously as this can cause it to break down and become less effective.
Instead, gently roll the bottle between your hands to mix it.
Choice D is incorrect because not all types of insulin can be mixed together in the same syringe.
Only certain types of insulin can be mixed together and this should only be done under the guidance of a healthcare provider.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today