A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times?
0730
0745
0815
0720
The Correct Answer is A
Choice A reason:
0730: Regular insulin, also known as short-acting insulin, typically begins to work within 30 minutes after administration. Therefore, ensuring the client receives breakfast at 0730, which is 15 minutes after the insulin dose, aligns with the onset of insulin action. This timing helps to prevent hypoglycemia by ensuring that glucose from the meal is available when the insulin starts to lower blood sugar levels.
Choice B reason:
0745: Administering breakfast at 0745, which is 30 minutes after the insulin dose, might be slightly delayed. While it is still within the effective window, it is better to have the meal a bit earlier to ensure that glucose is available as soon as the insulin begins to act.
Choice C reason:
0815: Providing breakfast at 0815, which is an hour after the insulin dose, is too late. By this time, the insulin would have already started to lower blood glucose levels significantly, increasing the risk of hypoglycemia. It is crucial to match the timing of food intake with the insulin action to maintain stable blood sugar levels.
Choice D reason:
0720: Serving breakfast at 0720, which is only 5 minutes after the insulin dose, is too early. The insulin would not have started to act yet, and the blood glucose levels might rise too high before the insulin begins to lower them. It is important to wait at least 15-30 minutes after administering regular insulin before eating.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["15"]
Explanation
Step 1: Determine the dosage available per mL.
- The available dosage is 75 mg per 5 mL.
- To find the dosage per mL, divide 75 mg by 5 mL.
- 75 mg ÷ 5 mL = 15 mg/mL.
- Result: 15 mg/mL.
Step 2: Determine how many mL are needed for the prescribed dose.
- The prescribed dose is 225 mg.
- To find the required mL, divide 225 mg by the dosage per mL (15 mg/mL).
- 225 mg ÷ 15 mg/mL = 15 mL.
- Result: 15 mL.
So, the nurse should administer 15 mL of clindamycin palmitate oral suspension every 8 hours.
Correct Answer is D
Explanation
Choice A reason:
Chicken broth: Chicken broth is part of a clear liquid diet, which is typically recommended immediately after surgery to ensure the digestive system is not overburdened. While nutritious, it does not meet the criteria for a full liquid diet, which includes more substantial liquids.
Choice B reason:
Flavored gelatin: Flavored gelatin is also a component of a clear liquid diet. It is easy to digest and provides some hydration and minimal calories. However, it does not provide the nutritional value needed for a full liquid diet.
Choice C reason:
Cranberry juice: Cranberry juice is another item that fits within a clear liquid diet. It is hydrating and provides some vitamins but lacks the protein and calories necessary for a full liquid diet.
Choice D reason:
Skim milk: Skim milk is appropriate for a full liquid diet. It provides essential nutrients, including protein, calcium, and vitamins, which are necessary for recovery after surgery4. Full liquid diets are designed to be more nutritious than clear liquid diets and include items like milk, cream soups, and smooth dairy products.
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