Question text
A patient is prescribed NPH and regular insulin every morning by his CNP, who is verifying that the patient understands that there are two different peak times to be aware of for this insulin regimen. Why is this important for the provider to address? Select one:
a. It is best to pl...
Module Five: Pharmacotherapy of Gastrointestinal, Renal, and Endocrine Disorders / →
Progress Test 3
Question 1
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Question text
A patient is prescribed NPH and regular insulin every morning by his CNP, who is verifying that the
patient understands that there are two different peak times to be aware of for this insulin regimen.
Why is this important for the provider to address?
Select one:
a. It is best to plan exercise or other activities around peak insulin activity.
b. The risk for hypoglycemia is greatest around the peak of insulin activity.
c. The client needs to plan the next insulin injection around the peak times.
d. Additional insulin may be needed at peak times to avoid hyperglycemia.
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The correct answer is: The risk for hypoglycemia is greatest around the peak of insulin activity.
Question 2
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The CNP prescribes 5 units of Humalog and 25 units of NPH (Isophane) insulin prior to breakfast.
The provider should tell the patient which of the following:
Select one:
a. Make sure your breakfast is available to eat before administering this insulin.
This study source was downloaded by 100000850436658 from CourseHero.com on 03-27-2023 09:36:53 GMT -05:00
, b. Administer the medications in two separate syringes.
c. Consume a highcarbohydrate snack in 6 hours.
d. Hold the insulin if your blood glucose level is greater than 100 mg/dL.
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The correct answer is: Make sure your breakfast is available to eat before administering this insulin.
Question 3
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A 63 yearold client with type 2 diabetes is admitted with an infected foot ulcer. Despite previous
good control on glyburide (Micronase), his blood glucose has been elevated the past several days
and he now requires slidingscale insulin. The CNP explains to the patient’s primary nurse that the
most likely reason for the elevated glucose levels is:
Select one:
a. the patient is converting to a type 1 diabetic.
b. the oral antidiabetic drug is no longer working for him.
c. a temporary condition related to the stress response with increased glucose release.
d. patients with diabetes who are admitted to the hospital are switched to insulin for safety and tighter
control.
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The correct answer is: a temporary condition related to the stress response with increased glucose
release.
Question 4
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This study source was downloaded by 100000850436658 from CourseHero.com on 03-27-2023 09:36:53 GMT -05:00
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