Which is the most appropriate timing regarding the nurse’s administration of a rapid-acting insulin to a hospitalized patient? a )Give it 15 minutes before the patient begins a meal.b) Give it ½ hour before a meal.c )Give it 1 hour after a meal.d) The timing of the insulin injection does not matter with insulin lispro
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Which is the most appropriate timing regarding the nurse’s administration of a rapid-acting insulin to a hospitalized patient?
a )Give it 15 minutes before the patient begins a meal.
b) Give it ½ hour before a meal.
c )Give it 1 hour after a meal.
d) The timing of the insulin injection does not matter with insulin lispro
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- Rapid-acting insulin enters the blood and begins to work within 10 to 15 minutes after given.a) Trueb) FalseWhen giving insulin with parental input, what do you need to document?a) Nurse calculated insulin doseb) Amount of adjustment suggested by parentc) Justification for adjustmentd) Nursing judgement (agree or disagree)e) Dose givenf) All of the aboveWhich statement is appropriate for the nurse to include in patient teaching regarding type 2 diabetes? a )“Insulin injections are never used with type 2 diabetes.”b )“You don’t need to measure your blood glucose levels because you are not taking insulin injections."c) “A person with type 2 diabetes still has functioning beta cells in his or her pancreas.”d )“Patients with type 2 diabetes usually have better control over their diabetes than those with type 1 diabetes.”
- Insulin lispro was given to a client at 0700 by a night nurse who needed to leave early. At 0730 the client is clammy and refusingb reakfast, stating "I don't feel well, I need to lie down," What is the nurse's action? 1) Check the blood sugar and convince the client to drink juice if possible. 2) Document the refusal and let the client sleep since. 3) Call the night nurse at home and tell her to come back and deal with the situation. 4) Wait to offer breakfast until the client feels better.Advantage of using an insulin pump that have been reported include:a) Allows for finer adjustment of insulin dosagesb) Convenience without multiple daily injectionsc) Monitors “on board” or “active” insulind) Calculates insulin dosagee) All of the aboveInjection therapy uses intermediate or long-acting insulin to cover the body’s:a) Basal insulin needsb) Bolus insulin needs
- ng insulin with parental input, what do you need to document? a) Nurse calculated dosage b) Amount of adjustment requested by parent c) Justification for adjustment d) Nursing judgment (agree or disagree) e) Dose given f)All of the above 20. Jessie comes to the medical office for pre-lunch check. BG-210 mg/dL, lunch - 59g, Target - 120 mg/dL, ISF = 1:60, I:C = 1:30 How much insulin should you administer? #g's carb in meal #g's carb in I:C Write your answers below and show calculations: = X Units to the finora stom bG - Target bG ISF = X UnitsWhen checking a patient’s fingerstick blood glucose level, the nurse obtains a reading of 42 mg/dL. The patient is awake but states he feels a bit “cloudy-headed.” After double-checking the patient’s glucose level and getting the same reading, which action by the nurse is most appropriate? a) Administer two packets of table sugar.b )Administer oral glucose in the form of a semisolid gel.c) Administer 50% dextrose IV push.d )Administer the morning dose of lispro insulinWhen monitoring for the therapeutic effects of intranasal desmopressin (DDAVP) in a patient who has diabetes insipidus, which assessment finding will the nurse look for as an indication that the medication therapy is successful? a) Increased insulin levelsb )Decreased diarrheac )Improved nasal patencyd )Decreased thirs
- A client with T2DM is admitted to the medical unit with pneumonia. The client’s oral antidiabetic medication has been discontinued and the patient is now receiving insulin for glucose control. Which of the following statements best explains the rationale for this change in medication? Question 73 options: a) Insulin administration will help prevent hypoglycemia during the illness b) Acute illnesses like pneumonia will cause increased insulin resistance c) Infection has compromised beta cell function so the client will need insulin from now on d) Stress-related conditions such as infections induce a hypermetabolic stateA patient is taking metformin for new-onset type 2 diabetes mellitus. When reviewing potential adverse effects, the nurse will include information about: (Select all that apply.) a )Abdominal bloatingb )Nauseac) Diarrhead )Headachee )Weight gainf )Metallic tasteWhen using an insulin pump, the student should not disconnect from their pump or suspend their insulin delivery for more than an hour without checking their BG.a) Trueb) False