ATI-RN Metabolism 3.0 Case Study Test Part 2 (Type 1 DM) Questions and Correct Answers

A nurse is monitoring the blood sugar of a child who received OJ 15 min ago for hypoglycemia. The child's blood glucose is now 105 g/dL. Which of the following actions should the nurse take? ~ Provide the child with a snack containing a starch and protein. A nurse is planning a teaching session for the guardian of a child who has Type 1 DM. Which of the following information should the nurse plan to include? ~ Regular and NPH insulin can be combined into the same syringe. A nurse in a pediatric office is providing teaching to an adolescent about insulin management. Which of the following statements should the nurse make? ~ Regular insulin can be administered within 30 min of a meal. To assist with preventing misuse of insulin and episodes of hypoglycemia after discharge, what information should the nurse provide to Derek and his mother regarding the peak times of regular and intermediate-acting insulins? ~ Regular, or short-acting insulin is delivered only via injection and requires more planning for meals because it doesn't begin working for nearly an hour and doesn't peak until more than two hours after injection. Using short-acting insulin also means you must eat according to its peak, requiring you to plan every meal, leaving little room for flexibility. Regular insulin has an onset time of 30-60 minutes, peaks in 2-4 hours, and has a duration of 6-8 hours. NPH is commonly used as a basal insulin due to the lengthy amount of time it stays in your system. However, because it only lasts 10 to 16 hours, it's usually given twice per day — once in the morning, and once at night. With its peak taking longer to occur, there is a greater fluctuation in blood sugars through the day as opposed to longer-acting insulin varieties. To manage this, patients using this insulin must follow a strict eating schedule, and eat a very precise amount of carbohydrates at precise times of day. NPH insulin has an onset of 1-3 hours, peaks in 4-6 hours, and has a duration of 10-16 hours.