Mr Ozz, a 45-year-old insulin-dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and 1830.

The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of:

1530 and 2130

1730 and 2330

1130 and 1330

1330 and 1930

Answer and Explanation

The Correct Answer is B

Choice A rationale: This does not match the peak time of NPH insulin.
Choice B rationale: This does not match the peak time of NPH insulin.
Choice C rationale: This does not match the peak time of NPH insulin.
Choice D rationale: This is because NPH insulin is an intermediate-acting insulin that has an onset of action of 1 to 2 hours, a peak of 6 to 12 hours, and a duration of 18 to 24 hours. Therefore, if Albert is given NPH insulin at 0730, the peak effect will occur between 1330 and 1930, which means that his blood glucose level will be lowest during this time.

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Correct Answer is D

Explanation

Choice A rationale: This is incorrect.

Choice B rationale: This describes metabolic syndrome, a collection of risk factors, but not a direct complication of type 1 diabetes.

Choice C rationale: This describes hyperosmolar hyperglycemic state, which is more characteristic of severe hyperglycemia but not the most common complication in type 1 diabetes.

Choice D rationale: Diabetic ketoacidosis (DKA) is a frequent and serious complication in type 1 diabetes, characterized by ketone formation due to the absence of insulin, leading to metabolic acidosis and potential life-threatening symptoms.

A. Increase in serum lipid levels. B. Decrease in blood pressure to normal. C. Gain in body weight. D. Disappearance of protein from the urine.

Correct Answer is D

Explanation

Choice A rationale: An increase in serum lipid levels is associated with nephrotic syndrome, not recovery.

Choice B rationale: A decrease in blood pressure to normal might be beneficial but is not a definitive indicator of recovery from nephrotic syndrome.

Choice C rationale: Gain in body weight can occur due to fluid retention, which is a symptom of nephrotic syndrome, and doesn't indicate recovery.

Choice D rationale: The disappearance of protein from the urine is a sign of recovery in nephrotic syndrome.

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Naxlex Comprehensive Predictor Exams

Which is the most common complication expected in clients with type 1 diabetes Mellitus?

Correct Answer is D

Explanation

What change indicates recovery in a patient with nephrotic syndrome?

Correct Answer is D

Explanation

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