What type of insulin is administered at bedtime, either with or without another type of insulin?
1. Insulin glargine (Lantus)
2. Isophane insulin suspension (Humulin N)
3. Regular insulin
4. NPH 70/30 (Humulin 70/30)
Correct Answer: 1
Rationale 1: Insulin glargine (Lantus) is an insulin analog, given at bedtime.
Rationale 2: Isophane insulin suspension (Humulin N) is incorrect because Humulin N, if given more than once a day, is usually given in the mornings and before the evening meal.
Rationale 3: Regular insulin is incorrect because regular insulin is a rapid-acting insulin, which would not be appropriate to give at bedtime.
Rationale 4: NPH 70/30 (Humulin 70/30) is incorrect because NPH 70/30 is a mixed preparation, with onset, peak, and duration similar to Humulin N.
Global Rationale: Insulin glargine (Lantus) is an insulin analog, given at bedtime. Isophane insulin suspension (Humulin N) is incorrect because Humulin N, if given more than once a day, is usually given in the mornings and before the evening meal. Regular insulin is incorrect because regular insulin is a rapid-acting insulin which would not be appropriate to give at bedtime. NPH 70/30 (Humulin 70/30) is incorrect because NPH 70/30 is a mixed preparation, with onset, peak, and duration similar to Humulin N.
You might also like to view...
The nurse is assisting with teaching a clinic patient who is diagnosed with tension headaches. Which explanation of tension headaches should the nurse provide?
a. "Tension headaches are caused by stress, which causes cerebral vessel constriction." b. "Tension headaches result from release of pain mediators in the periphery." c. "Tension headaches are a result of stress and sustained muscle contraction of the head and neck." d. "Tension headaches are caused by blood sugar fluctuations that result from excessive stress."
A patient with bronchogenic oat cell carcinoma has a drop in urine output. The laboratory reports a serum sodium level of 120 mEq/L, a serum osmolality level of 220 mOsm/kg, and urine specific gravity of 1.035 . The nurse would suspect
a. diuresis. c. SIADH. b. DI. d. hyperaldosteronism.
A client agrees to receive long-term hemodialysis to treat acute renal failure. For which surgical procedure should the nurse instruct this client?
A) Insertion of a double-lumen catheter into the subclavian artery B) Placement of a peritoneal catheter C) Insertion of a subarachnoid-peritoneal shunt D) Placement of an arteriovenous fistula
Positive self-regard is best described in the nursing profession as:
A. Regarding oneself as highly knowledgea-ble about nursing B. Knowing exactly who is a competent nurse C. Understanding others to the point that one can express others' ideas D. Having self-awareness and trust of their followers