NR293- Pharmacology- Week 2/Unit 5- Glucose Regulation: Nursing
Application: Insulins Chamberlain University-Illinois | UPDATED
Questions with 100% Verified Answers
Question:
What foundational knowledge about insulin should the nurse
possess to ensure the safe administration of insulin to clients?
Select all that apply. Onset of action Prescribed dose Serum
glucose level Prescribed route Client's weight Peak effect
Duration of action
Answer:
Onset of action Prescribed dose Prescribed route Peak effect
Duration of action The nurse should have foundational
knowledge related to the pharmacokinetics (onset, peak, and
duration of action), the prescribed dose, and the prescribed
route prior to administering insulin to a client. Regarding the
dose and route prescribed, the nurse is responsible for
recognizing and questioning whether a prescribed dose or
route differs from currently accepted practice (e.g.,
administering a large amount of intermediate- acting insulin
via intravenous [IV] injection). The weight and serum glucose
level are specific to the client, not the insulin being
administered. However, it is important that the nurse knows
the client·s most recent serum glucose level prior to
administering insulin. The weight is important for overall care
but is not specific to administering insulin.
Question:
It is 0700 and the nurse is caring for four clients on insulin
therapy. Based on the type of insulin used and the time their
last dose was administered, indicate the optimal time for each
client to eat breakfast.
Answer:
, 63 units glargine subcutaneously at 2120 the day before -
Upon request of client 70 units of lispro subcutaneously at
0655 today - Within 5 minutes 70% NPH/30% regular
subcutaneously at 0645 today - Between 0715 and 0745
Question:
The nurse is teaching an adult who was recently prescribed a
long-acting insulin in addition to their oral antidiabetic
medications. For each statement made by the client, specify if
the client needs additional teaching or understands the
teaching. "Signs of hypoglycemia include hunger, thirst, and
frequent urination." "The goal of adding insulin to my plan of
care is a glycosylated hemoglobin (Hb A1C) less than 4%." "I
will notify my healthcare provider if my blood sugar increases
when I am not feeling well." "If my blood sugar falls below
65 mg/dL and I feel shaky, I will drink a small glass of orange
juice." "I will keep a simple carbohydrate, like oral glucose
tablets or hard candy, with me in case I start to feel like my
blood sugar is low."
Answer:
Needs Additional Teaching:
· "Signs of hypoglycemia include hunger, thirst, and frequent
urination."
· "The goal of adding insulin to my plan of care is a
glycosylated hemoglobin (Hb A1C) less than 4%."
Understands the Teaching:
· "I will notify my healthcare provider if my blood sugar
increases when I am not feeling well."
· "If my blood sugar falls below 65 mg/dL and I feel shaky, I
will drink a small glass of orange juice."
Application: Insulins Chamberlain University-Illinois | UPDATED
Questions with 100% Verified Answers
Question:
What foundational knowledge about insulin should the nurse
possess to ensure the safe administration of insulin to clients?
Select all that apply. Onset of action Prescribed dose Serum
glucose level Prescribed route Client's weight Peak effect
Duration of action
Answer:
Onset of action Prescribed dose Prescribed route Peak effect
Duration of action The nurse should have foundational
knowledge related to the pharmacokinetics (onset, peak, and
duration of action), the prescribed dose, and the prescribed
route prior to administering insulin to a client. Regarding the
dose and route prescribed, the nurse is responsible for
recognizing and questioning whether a prescribed dose or
route differs from currently accepted practice (e.g.,
administering a large amount of intermediate- acting insulin
via intravenous [IV] injection). The weight and serum glucose
level are specific to the client, not the insulin being
administered. However, it is important that the nurse knows
the client·s most recent serum glucose level prior to
administering insulin. The weight is important for overall care
but is not specific to administering insulin.
Question:
It is 0700 and the nurse is caring for four clients on insulin
therapy. Based on the type of insulin used and the time their
last dose was administered, indicate the optimal time for each
client to eat breakfast.
Answer:
, 63 units glargine subcutaneously at 2120 the day before -
Upon request of client 70 units of lispro subcutaneously at
0655 today - Within 5 minutes 70% NPH/30% regular
subcutaneously at 0645 today - Between 0715 and 0745
Question:
The nurse is teaching an adult who was recently prescribed a
long-acting insulin in addition to their oral antidiabetic
medications. For each statement made by the client, specify if
the client needs additional teaching or understands the
teaching. "Signs of hypoglycemia include hunger, thirst, and
frequent urination." "The goal of adding insulin to my plan of
care is a glycosylated hemoglobin (Hb A1C) less than 4%." "I
will notify my healthcare provider if my blood sugar increases
when I am not feeling well." "If my blood sugar falls below
65 mg/dL and I feel shaky, I will drink a small glass of orange
juice." "I will keep a simple carbohydrate, like oral glucose
tablets or hard candy, with me in case I start to feel like my
blood sugar is low."
Answer:
Needs Additional Teaching:
· "Signs of hypoglycemia include hunger, thirst, and frequent
urination."
· "The goal of adding insulin to my plan of care is a
glycosylated hemoglobin (Hb A1C) less than 4%."
Understands the Teaching:
· "I will notify my healthcare provider if my blood sugar
increases when I am not feeling well."
· "If my blood sugar falls below 65 mg/dL and I feel shaky, I
will drink a small glass of orange juice."
