A nurse is teaching a client who is newly diagnosed with type 2 diabetes mellitus about insulin therapy. Which of the following insulin combinations should the nurse instruct the client to mix?
Insulin aspart and NPH insulin
Insulin degludec and NPH insulin.
Insulin glargine and insulin detemir
Insulin lispro and regular insulin
The Correct Answer is A
A. Insulin aspart and NPH insulin: Insulin aspart is a rapid-acting insulin, and NPH is an intermediate-acting insulin. These can be mixed in the same syringe to provide both immediate and prolonged glucose control, with aspart covering postprandial spikes and NPH maintaining basal levels.
B. Insulin degludec and NPH insulin: Insulin degludec is an ultra-long-acting insulin and should not be mixed with any other insulin, as mixing can alter its absorption and effectiveness.
C. Insulin glargine and insulin detemir: Both glargine and detemir are long-acting insulins and should not be mixed with any other insulin, as this can interfere with their mechanism of providing a steady release.
D. Insulin lispro and regular insulin: Insulin lispro is a rapid-acting insulin, and regular insulin is short-acting. These insulins should not be mixed because they have different onset and peak times, which can lead to unpredictable glucose control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I cook my partner's favorite foods.": Preparing meals can be a way to show love and care, but it does not necessarily indicate effective coping. It may serve as a distraction, but it does not address emotional or social well-being.
B. "I make a list of all the things I need to do.": Creating lists can help with organization, but it does not directly reflect emotional coping. It may indicate a focus on tasks rather than emotional processing or seeking support.
C. "I have lunch with my friends once a week.": Maintaining social connections is a sign of effective coping, as it provides emotional support and an opportunity to share feelings. Engaging in enjoyable activities outside of caregiving responsibilities helps reduce stress.
D. "I am unable to fall asleep right away.": Difficulty sleeping is a common response to stress but suggests ongoing emotional distress rather than effective coping. Persistent sleep disturbances may require further assessment and support.
Correct Answer is D
Explanation
A. Discontinue opioids before trying nonpharmacological methods of pain relief: Nonpharmacological interventions can be used alongside opioids to enhance pain relief. Abruptly discontinuing opioids can lead to withdrawal symptoms and inadequate pain control.
B. Pain relief from the use of heat and cold continues for several hours after removal of the stimulus: While heat and cold therapy can provide temporary relief, their effects typically last for a short duration, usually around 15 to 30 minutes after removal.
C. Use imagery with clients who have difficulty with focus and concentration: Guided imagery requires cognitive focus and the ability to concentrate. Clients with impaired attention may struggle to benefit from this technique.
D. Distraction changes the client's perception of pain, but it does not affect the cause: Distraction techniques, such as music or conversation, help shift the client's attention away from pain, altering perception but not addressing the underlying pathology.
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