A nurse is teaching diabetic clients about the use of insulin. For which of the following types of insulin should the nurse tell the clients to expect an onset of 15 to 30 minutes?
Insulin glargine (Lantus)
Glucagon (Glucagen)
Glipizide (Glucotrol)
Insulin lispro (Humalog)
The Correct Answer is D
A. Insulin glargine (Lantus): This is a long-acting insulin, with no pronounced peak and a slow onset, typically around 1-2 hours.
B. Glucagon (Glucagen): This is not an insulin; it's used to treat severe hypoglycemia.
C. Glipizide (Glucotrol): This is an oral medication used to stimulate insulin secretion, not an insulin itself.
D. Insulin lispro (Humalog): Insulin lispro is a rapid-acting insulin with an onset of 15 to 30 minutes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The first-pass effect refers to the metabolism of a drug in the liver before it reaches systemic circulation. This primarily affects oral medications, as they are absorbed through the gastrointestinal tract and first pass through the liver.
B. Intravenous (IV) drugs bypass the first-pass effect as they are directly introduced into the bloodstream.
C. Intramuscular (IM) and D. Subcutaneous (SC) routes also bypass the first-pass effect since the drug enters the bloodstream without passing through the liver initially.
Correct Answer is D
Explanation
A. Excretion is the removal of the drug from the body, typically through the kidneys, and is not related to changes in the drug's potency or solubility.
B. Absorption is the process of the drug entering the bloodstream, not a process that alters the drug's chemical form.
C. Distribution is the process by which the drug is spread throughout the body’s tissues and organs, not
the phase where the drug is altered.
D. Metabolism, primarily occurring in the liver, involves the conversion of drugs into more water-soluble forms, which can either increase or decrease their potency.
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