The nurse needs to monitor a client's blood sugar after administration of insulin regular (Humulin R). When does the nurse expect to assess the client's blood sugar based on the peak action of the medication?

In 15 to 30 minutes

In 1 to 2 hours

In 4 to 6 hours

In 2 to 4 hours

Answer and Explanation

The Correct Answer is D

A. In 15 to 30 minutes: This is the onset time for regular insulin, not the peak. Blood sugar monitoring during this period may not yet reveal the full effect of the insulin.

B. In 1 to 2 hours: This is too early for the peak of regular insulin. Hypoglycemia risk is lower during this period compared to the 2 to 4-hour peak window.

C. In 4 to 6 hours: This is nearing the end of the action duration for regular insulin, so monitoring blood sugar at this time would be less effective for identifying hypoglycemia risk at the peak.

D. In 2 to 4 hours: This is the peak action time for regular insulin, when blood glucose should be monitored closely for potential hypoglycemia.

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Correct Answer is C

Explanation

A. Patients usually require therapy for a shorter period: This is incorrect. TB therapy typically lasts for several months, longer than most other bacterial infections.
B. Patients with tuberculosis have no symptoms: This is incorrect. Many patients with active TB do exhibit symptoms such as cough, fever, night sweats, and weight loss.
C. Mycobacteria have a cell wall that is resistant to penetration by anti-infective drugs: This is correct. The mycobacterial cell wall is complex and impermeable, requiring specialized drugs and prolonged treatment.
D. Anti-tuberculosis drugs are used extensively for treating active disease, not preventing it: This is partially true, but TB drugs are also used for latent TB infection to prevent it from becoming active. Thus, it is not a primary reason differentiating TB therapy from other infections.

A. Obtain a platelet count B. Obtain a blood pressure C. Obtain a urine specimen for culture and sensitivity D. Obtain a PTT

Correct Answer is C

Explanation

A. Obtain a platelet count: Platelet count is not routinely required before antibiotics for a UTI.
B. Obtain a blood pressure: Blood pressure is not a priority for a UTI but might be checked for other reasons.
C. Obtain a urine specimen for culture and sensitivity: This is the most important step. Culturing the urine helps identify the specific bacteria causing the infection and determine the most effective antibiotic. Knowing the sensitivity profile helps select the antibiotic most likely to work against that particular bacteria.
D. Obtain a PTT: PTT (partial thromboplastin time) is not routinely required before antibiotics for a UTI.

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The nurse needs to monitor a client's blood sugar after administration of insulin regular (Humulin R). When does the nurse expect to assess the client's blood sugar based on the peak action of the medication?

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The nurse needs to monitor a client's blood sugar after administration of insulin regular (Humulin R). When does the nurse expect to assess the client's blood sugar based on the peak action of the medication?