Nursing Application: Insulins
A patient's blood glucose level is 215 mg/dL. The patient is about to eat lunch. Per sliding scale, you administer 4 units of insulin lispro subcutaneously at 1130. As the nurse, you know the patient is most at risk for hypoglycemia at what time?
1230
A patient is scheduled to take 7 units of NPH insulin at 0830. You administer NPH insulin at 0900 in the right thigh. When do you expect this medication to peak?
1300
A patient newly diagnosed with diabetes is about to be discharged home. You are watching the patient administer insulin. Which of the following actions causes you to re-educate them?
They massaged the site after administering the insulin
The nurse is caring for a client with poorly managed diabetes mellitus. The nurse is planning education for this client. Which statement by the client indicates a need for more education?
"As long as I administer insulin and maintain a normal glucose, I can eat whatever I want."
A patient with Type 2 diabetes is started on the medication glyburide. Which of the following statements by the patient causes concern?
"I will consume no more than 8 oz. of alcohol per week."
During the initial assessment, which questions should the nurse ask the patient? Select all that apply.
*How often do you exercise? *Do you take any additional medication or supplements? *Do you lift weights or do cardio exercises? *Were you able to provide a urine sample upon arrival?
The nurse is administering lispro insulin to a client at 0730. Based on the onset of the insulin, the nurse should question which of the following? Select all that apply.
*The client can have the meal tray delivered at their convenience *The meal tray will arrive 2 hours post insulin administration
Which of the following are essential considerations when insulin is being administered? Select all that apply.
*Peak *Onset *Duration
A patient newly diagnosed with diabetes is about to be discharged home. You are watching the patient administer insulin. Which of the following actions demonstrate that the patient understands your instructions? Select all that apply.
*They used an opposite side for injection compared to the last insulin injection *They engaged the safety after administering the medication *They injected into the fat of their thighs
A client with diabetes reports to the UAP they are feeling weak, tired, having shakes, and they feel their heart is racing after their morning insulin. The UAP alerts the nurse and upon entering the room the client is found unconscious. Which of the following nursing actions is expected?
Administer parenteral glucose
A client taking insulin glargine asks when the best time is to take this medication. What is the best response by the nurse?
At the same time every day
A client with diabetes reports they feel like their blood sugar is going low after their morning insulin. The blood glucose results are 52 mg/dL. Which of the following nursing actions is expected for the client?
Consume 15 g of a fast acting carbohydrate
A patient is scheduled to take a morning dose of metformin. The patient is scheduled for surgery tomorrow. Which of the following nursing interventions is correct?
Hold the dose and notify the doctor for further orders
A 38-year-old client has been diagnosed with type 2 diabetes and must take injectable insulin to manage the disease. The nurse is teaching the client about how to inject insulin and the client becomes very upset and anxious at the thought of giving herself an injection. Which response from the nurse is most appropriate?
Let's talk about how we can make this as easy as possible for you
Which of the following is not an essential consideration when insulin is being administered?
Termination
The nurse is administering lispro insulin to a client at 0730. Based on the onset of the insulin, the nurse should confirm the following prior to administration?
The meal tray is present at the time of administration
