A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?

Administer with short-acting insulin.

Assess for hypoglycemia 4 hr after the insulin injection.

Inject the insulin 15 min before a meal.

Monitor for polyuria.

Answer and Explanation

The Correct Answer is C

Choice A reason: This is incorrect because lispro insulin is a rapid-acting insulin that does not need to be administered with another type of insulin. However, the patient may need a long-acting or intermediate-acting insulin to provide basal coverage throughout the day.

Choice B reason: This is incorrect because lispro insulin has a peak action of 30 to 90 min after the injection, which means that the patient is at the highest risk of hypoglycemia during this time. The nurse should assess for hypoglycemia more frequently than 4 hr after the injection.

Choice C reason: This is correct because lispro insulin has a fast onset of action of 15 to 30 min after the injection, which means that the patient should eat a meal within 15 min of the injection to prevent hypoglycemia.

Choice D reason: This is incorrect because polyuria is a sign of hyperglycemia, not hypoglycemia. The nurse should monitor for polyuria before the insulin injection, as it may indicate that the patient's blood glucose level is high.

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Correct Answer is B

Explanation

Choice A reason: Antibiotics are not likely to interact with corticosteroids, unless they are aminoglycosides, which can increase the risk of hypokalemia. However, most antibiotics do not affect the metabolism or efficacy of corticosteroids.

Choice B reason: Nonsteroidal anti-inflammatory drugs (NSAIDs) can interact with corticosteroids, as they both have anti-inflammatory and immunosuppressive effects. This can increase the risk of gastrointestinal bleeding, ulceration, and perforation. Therefore, the nurse should monitor the patient for signs of bleeding and advise the patient to avoid taking NSAIDs with corticosteroids.

Choice C reason: Opioid analgesics are not likely to interact with corticosteroids, unless they are codeine, which can decrease the clearance of corticosteroids. However, most opioid analgesics do not affect the metabolism or efficacy of corticosteroids.

Choice D reason: Antidepressants are not likely to interact with corticosteroids, unless they are monoamine oxidase inhibitors (MAOIs), which can increase the risk of hypertension and hypertensive crisis. However, most antidepressants do not affect the metabolism or efficacy of corticosteroids.

A. Benzonatate B. Guaifenesin C. Diphenhydramine D. Dextromethorphan

Correct Answer is B

Explanation

Choice A reason: Benzonatate is not the correct answer. Benzonatate is a cough suppressant that works by numbing the throat and lungs. It does not help in the removal of mucus.

Choice B reason: Guaifenesin is the correct answer. Guaifenesin is an expectorant that works by thinning and loosening the mucus in the airways. It helps in the removal of mucus by making it easier to cough up.

Choice C reason: Diphenhydramine is not the correct answer. Diphenhydramine is an antihistamine that works by blocking the effects of histamine, a chemical that causes allergy symptoms. It does not help in the removal of mucus.

Choice D reason: Dextromethorphan is not the correct answer. Dextromethorphan is a cough suppressant that works by affecting the signals in the brain that trigger the cough reflex. It does not help in the removal of mucus.

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A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?

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