Nokea
The nurse is administering long-acting insulin once a day, which provides insulin coverage for 24 hours. This insulin is ___
Correct Answer: Glargine
Rationale: Glargine is a long-acting synthetic (recombinant DNA origin, human-made) human insulin. It is used once a day at bedtime and works around the clock for 24 hours.
You may also like to solve these questions
The health care provider orders an 1800-calorie diabetic diet and 40 units of NPH insulin subcutaneously daily for a patient with diabetes mellitus. For which reason will a mid-afternoon snack of milk and crackers be given?
- A. To improve nutrition.
- B. To improve carbohydrate metabolism.
- C. To prevent hypoglycemia
- D. To prevent diabetic coma.
Correct Answer: C
Rationale: NPH insulin peaks in 6-10 hours. The nurse should be alert for signs of hypoglycemia (low blood glucose) at the peak of action of whatever type of insulin the patient is receiving.
The use of radioactive iodine in the treatment of hyperthyroidism is for which purpose?
- A. stimulate the thyroid gland.
- B. depress the pituitary.
- C. destroy some of the thyroid tissue.
- D. alter the stimulus from the pituitary.
Correct Answer: C
Rationale: Radioactive iodine 131 destroys some of the hyperactive thyroid gland to produce a more normally functioning gland.
Lispro has an onset of action within how many minutes?
- A. 90
- B. 60
- C. 15
- D. 45
Correct Answer: C
Rationale: Lispro begins to take effect in less than half the time of regular, fast-acting insulin. The new formula can be injected 15 minutes before a meal.
The nurse is caring for a patient who is receiving calcium gluconate for treatment of hypoparathyroid tetany. Which assessment would indicate an adverse reaction to the drug?
- A. Increase in heart rate
- B. Flushing of face and neck
- C. Drop in blood pressure
- D. Urticaria
Correct Answer: C
Rationale: Indications of an adverse effect of calcium gluconate are serious cardiac dysrhythmias, and hypotension.
Which is the role of cortisol?
- A. Glucose metabolism
- B. Releasing androgens and estrogens
- C. Providing extra reserve energy during stress
- D. Decreasing the level of potassium in the bloodstream
- E. Increasing retention of sodium in the bloodstream
Correct Answer: A,C
Rationale: Cortisol is involved in glucose metabolism and provides extra reserve energy in times of stress.