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PNR 309 DIABETES CASE
QUESTIONSWITH 100% ACCURATE
SOLUTIONS + RATIONALES
1. Shakira, age 10, takes 16 units of Humulin N and 3 units of
Humalog at 8:00 a.m.
a. At what time would the Humalog begin to act? 15min
b. When would you expect it to peak? 1hr
c. At what time would the Humulin N begin to act? 1-2hr
d. When would you expect it to peak? 4-8hrs
e. What are the nursing considerations for this information?
Monitor blood glucose before meals and at bedtime.
Watch for hypoglycemia, especially mid-morning (Humalog peak)
and afternoon (Humulin N peak).
Ensure Shakira eats a consistent carbohydrate breakfast shortly after
insulin administration.
Educate on recognizing and treating hypoglycemia (shakiness,
sweating, confusion).
Document insulin doses, blood glucose readings, and any symptoms.
2. Rico, age 8, comes to the nurse and says he feels “low’. You note
that he is shaky. What actions do you take?
Check blood glucose immediately to confirm hypoglycemia (BG < 70
mg/dL or 3.9 mmol/L).
de89d30ad109c93d6aacebc9f5375f1ace146d5a.doc
This study source was downloaded by 1205308 from cliffsnotes.com on 02-18-2026 21:37:20 GMT -06:00
https://www.cliffsnotes.com//study-notes/31578484
EMAIL:
PNR 309 DIABETES CASE
QUESTIONSWITH 100% ACCURATE
SOLUTIONS + RATIONALES
1. Shakira, age 10, takes 16 units of Humulin N and 3 units of
Humalog at 8:00 a.m.
a. At what time would the Humalog begin to act? 15min
b. When would you expect it to peak? 1hr
c. At what time would the Humulin N begin to act? 1-2hr
d. When would you expect it to peak? 4-8hrs
e. What are the nursing considerations for this information?
Monitor blood glucose before meals and at bedtime.
Watch for hypoglycemia, especially mid-morning (Humalog peak)
and afternoon (Humulin N peak).
Ensure Shakira eats a consistent carbohydrate breakfast shortly after
insulin administration.
Educate on recognizing and treating hypoglycemia (shakiness,
sweating, confusion).
Document insulin doses, blood glucose readings, and any symptoms.
2. Rico, age 8, comes to the nurse and says he feels “low’. You note
that he is shaky. What actions do you take?
Check blood glucose immediately to confirm hypoglycemia (BG < 70
mg/dL or 3.9 mmol/L).
de89d30ad109c93d6aacebc9f5375f1ace146d5a.doc
This study source was downloaded by 1205308 from cliffsnotes.com on 02-18-2026 21:37:20 GMT -06:00
https://www.cliffsnotes.com//study-notes/31578484
