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.
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Related Questions
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.
Correct Answer is A
Explanation
To calculate the rate at which the volumetric pump should be set to deliver the intravenous fluids, you need to divide the total volume of fluid (3,000 mL) by the total time in hours (24 hours).
This gives you 3,000 mL ÷ 24 hours = 125 mL/hr.
Therefore, the nurse should set the volumetric pump to deliver 125 mL of fluid per hour.
Choice B is incorrect because 130 mL/hr would result in a total of 3,120 mL over 24 hours.
Choice C is incorrect because 135 mL/hr would result in a total of 3,240 mL over 24 hours.
Choice D is incorrect because 140 mL/hr would result in a total of 3,360 mL over 24 hours.
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