ATI Diabetes Mellitus Management

Anurseisteachingaclientwhohastype1diabetesmellitusaboutthepeaktimeofneutralprotamineh
agedorn(MPH)inulin.Whichofthefollowingstatementsbytheclientindicatesanunderstandingoft
heteaching?



a."NPHinsulinpeaksin1to5hours."

b."NPHinsulinispeakless."

c."NPHinsulinpeaksin6to14hours."

d."NPHinsulinpeaksin12to24hours."-correctanswera



NPHinsulinhasanonsetof60to120min,peaksin6to14hr,andhasadurationof16to24hr.



Anurseisreviewingself-administrationofinsulinusingapre-
filledpenwithaclientwhostartedusingthepenthepreviousweek.Theclientaskswhatcanbedoneto
helpreduceinjectionpain.Whichofthefollowinginstructionsshouldthenursegivetheclient?



a.Agitatethesyringeslightlybeforeinjection.

b.Storethepenswiththeneedlepointingupward.

c.Insertingtheneedlerapidlyminimizesinjectionpain.

d.Keepthepenatroomtemperatureforafewminutes.-correctanswerd



Injectingroom-temperatureinsulinislesspainfulthaninjectingcoldinsulin.



Anurseiscaringforaclientwhohastypeonediabetesmellitusandreportsfeelinganxiousandhaving
palpitations.Theglucometerreads50mg/dL.Whichofthefollowingactionsshouldthenursetake?



a.givetheclient1tspofhoney

b.givetheclient4ozofapplejuice