ATI Diabetes Mellitus Management

ATI Diabetes Mellitus Management A nurse is teaching a client who has type one diabetes mellitus about the peak time of neutral protamine hagedorn (MPH) inulin. Which of the following statements by the client indicates an understanding of the teaching? 1. NPH insulin peaks in 1-5 hours Regular insulin has an onset of 30 to 60 min, peaks in 1 to 5 hr, and lasts up to 10 hr. 2. NPH insulin is peakless Insulin glargine has an onset of 70 min, it is peakless, and it has a duration of 24 hr 3. NPH insulin peaks in 6-14 hours NPH insulin has an onset of 60 to 120 min, peaks in 6 to 14 hr, and has a duration of 16 to 24 hr. 4. Insulin peaks in 12-24 hours Insulin detemir has a slow onset, peaks between 12 and 24 hr, and has a duration that varies with the dosage. A nurse is teaching a client who has type one diabetes about the use of an insulin pump. Which of the following information should the nurse include in the teaching? 1. The pump may disconnect the pump for short periods of time such as bathing and swimming. 2. Insulin is injected intermittently based on the client's glucose level 3. The pump uses intermediate-acting insulin. 4. The risk for developing DKA can be increased with the use of an insulin pump Malfunction of the pump from low battery power, occlusion of tubing or needles, or lack of insulin in the pump increases the risk of DKA, particularly if the client is not aware of it. A nurse is reviewing self-administration of insulin using a pre-filled pen with a client who started using the pen the previous week. The client asks what can be done to help reduce injection pain. Which of the following instructions should the nurse give the client? 1.Agitate the syringe slightly before injection. 2. Store the pens with the needle pointing upward. 3. Inserting the needle rapidly minimizes injection pain. 4. Keep the pen at room temperature for a few minutes. Injecting room-temperature insulin is less painful than injecting cold insulin.