Insulin Practice Test| Insulin Administration Questions with Correct Solutions

The nurse is administering lispro insulin and should keep in mind that this insulin will have an effect within which time frame? a. 15 min b. 1-2 hours c. 80 minutes d. 3-5 hours - a. 15 min The onset of action for lispro insulin is 15 min. The peak plasma concentration is 1-2 hours. The elimination half life is 80 minutes and the duration is 3-5 hours. When teaching about hypoglycemia, the nurse should make sure that the patient is aware of early signs of hypoglycemia including a. hypothermia and seizures b. nausea and diarrhea c. irritability and confusion d. fruity, acetone odor to the breath - c. irritability and confusion Early symptoms of hypoglycemia include the CNS manifestations of confusion, irritability, tremor, and sweating. The nurse is teaching a group of patients about self-administration of insulin. What teaching is important to include? a. patients should use the injection site that is most accessible b. during times of illness, patients should increase their insulin dosage by 25% c. when mixing insulins, the cloudy (such as NPH) insulin should be drawn up into the syringe first d. when mixing insulins, the clear (such as regular) insulin should be drawn up into the syringe first - d. when mixing insulins, the clear (such as regular) insulin should be drawn up into the syringe first When monitoring a patient's response to oral antidiabetic drugs, the nurse knows that the laboratory results that would indicate a therapeutic response would be a(n) A. random blood glucose level above 170 mg/dL. B. blood glucose level of less than 50 mg/dL after meals. C. fasting blood glucose level between 70 and 100 mg/dL. D. evening blood glucose level below 70 mg/dL. - C. fasting blood glucose level between 70 and 100 mg/dL. A fasting blood glucose level between 70-100 indicates a therapeutic response to glucose-elevating drugs A 75-year-old woman with type 2 diabetes has recently been placed on glyburide, 10 mg daily. She asks the nurse when the best time would be to take this medication. What is the nurse's best response? a. in the evening with a snack b. in the morning, 30 minutes before breakfast c. after the midday meal d. it doesn't matter - b. in the morning, 30 minutes before breakfast When taken at this time, the medication has a longer duration of action causing it to release a constant amount of insulin. This may be beneficial in controlling blood glucose levels throughout the day.