A nurse is preparing to administer a client's daily dose of NPH insulin at 0730.
The nurse should expect this type of insulin to peak within which of the following timeframes after administration?
30 minutes to 3 hours.
2 to 6 hours.
4 to 5 hours.
6 to 10 hours.
The Correct Answer is D
NPH insulin is an intermediate-acting insulin that usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Peak time is when insulin has its strongest effect on lowering blood glucose1.
Choice A: 30 minutes to 3 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Choice B: 2 to 6 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Choice C: 4 to 5 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The client should remove the used patch with medication areas to the inside and discard it in a closed receptacle 1.
Choice B is incorrect because the nitroglycerin patch should not be kept in place for 24 hours per day.
Instead, it should be worn for 12 to 14 hours and then removed 12.
Choice C is incorrect because while 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, there is no specific instruction to cleanse excess hair from the skin before applying the patch.
Choice D is incorrect because a second patch should not be applied if angina pain occurs.
Nitroglycerin transdermal patches are used to reduce the number of angina attacks over a long time and will not relieve an attack that has already started because it works too slowly 1.
Instead, the client should check with their doctor if they also need a fast-acting medicine to relieve the pain of an angina attack 1.
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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