The nurse is teaching a patient with type 2 diabetes about intermediate-acting insulin (NPH). Which of the following statements by the patient indicates a need for further teaching?

"This insulin peaks in 6-12 hours."

"I will take this insulin before breakfast."

"This insulin lasts for 12-18 hours."

"I will take this insulin right before eating meals to cover my carbohydrate intake."

Answer and Explanation

The Correct Answer is D

A. The patient’s statement about the peak of NPH insulin being 6-12 hours is correct; it is important to know when to monitor for hypoglycemia.

B. Taking NPH before breakfast is appropriate, as it is typically given in the morning to provide coverage for meals throughout the day.

C. The duration of NPH insulin lasting for 12-18 hours is accurate, which is crucial for understanding how long the patient can expect blood glucose control.

D. NPH insulin should not be taken right before meals as it does not act quickly enough to cover immediate carbohydrate intake. Rapid-acting insulin is typically used for that purpose, indicating a need for further teaching.

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Correct Answer is D

Explanation

A. Taking smaller doses of decongestants several times a day may be appropriate for some medications but does not address the risk of rebound congestion associated with prolonged use.

B. Expecting relief within a few days may not be realistic if the cold symptoms persist for 2 weeks, indicating a potential need for further evaluation.

C. OTC decongestants can be effective, and many patients find relief from symptoms without requiring a prescription.

D. Using decongestants for an extended period can lead to rebound congestion, where nasal passages become more congested once the medication is stopped, making this a crucial point for the nurse to communicate.

A. Atropine B. Cholestyramine C. Inamrinone D. Milrinone

Correct Answer is A

Explanation

A. Atropine is an anticholinergic medication that increases heart rate by blocking vagal effects on the heart, making it the first-line treatment for symptomatic bradycardia.

B. Cholestyramine is a bile acid sequestrant used to lower cholesterol levels and does not have any effects on heart rate.

C. Inamrinone is a phosphodiesterase inhibitor used in heart failure for inotropic support but is not specifically indicated for bradycardia management.

D. Milrinone is also a phosphodiesterase inhibitor used for heart failure but does not address bradycardia directly.

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The nurse is teaching a patient with type 2 diabetes about intermediate-acting insulin (NPH). Which of the following statements by the patient indicates a need for further teaching?

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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