Insulins Like Nph Are And Require Before Withdrawing The Medication

Question: A health care provider prescribes 36 units of NPH insulin (Novolin N) and 12 units of regular insulin (Novolin R). The nurse plans to administer these drugs in one syringe. Identify the steps in this procedure by listing the numbers by each picture next to the step below in priority order. (Start with the number of the picture that represents the first step and end with the number by the picture that represents the last step.)

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Question: A nurse is teaching a 10-year-old child with type 1 diabetes about insulin requirements. When should the nurse explain that insulin needs will decrease?

1 When puberty is reached

2 When infection is present

3 When emotional stress occurs

4 When active exercise is performed

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Answer: 2.

Regular insulin is the only insulin that is administered intravenously. Novolin L insulin cannot be administered intravenously. Novolin N insulin cannot be administered intravenously. Novolin U insulin cannot be administered intravenously.

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Answer: 4.

NPH (Novolin N) insulin peaks in 4 to 12 hours; it has an onset time of 1½ to 4 hours and a duration of 18 to 24 hours. NPH insulin does not peak 1 to 2 hours, 2 to 4 hours, or 5 to 10 hours after administration.

Question: What should a nurse teach the client to do to avoid lipodystrophy when self-administering insulin therapy?

1 Exercise regularly.

2 Rotate injection sites.

3 Use the Z-track technique.

4 Avoid massaging the injection site.

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Answer: 2.

Insulin causes potassium to move into the cells along with glucose, thereby reducing the serum potassium level. Hypokalemia can lead to lethal cardiac dysrhythmias. Insulin does not result in reduced blood volume, alter the sodium level directly, or affect calcium mobilization.