The nurse is administering a dose of NPH insulin at 0800 to an insulindependent diabetic child. According to when the insulin peaks,the child would be at greatest risk for a hypoglycemic episode between
1. breakfast and lunch.
2. bedtime and breakfast the nextmorning.
3. 0830 and a midmorning snack.
4. lunch and dinner.
Answer:4
Rationale:NPH is intermediate-acting insulin that peaks in six to twelve hours. If administered at 0800,the risk of a hypoglycemic reaction would be between lunch and dinner. A hypoglycemic reaction between breakfast and lunch would be associated with short-acting insulin;between bedtime and breakfast the next morning with long-acting insulin;and between 0830 and a midmorning snack with rapid-acting insulin.
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