A nurse is planning care for a school-age child with type 1 ...

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A nurse is planning care for a school-age child with type 1 diabetes. Which insulin preparations are rapid and short acting? (Select all that apply.)
 
  a. Novolin N
  b. Lantus
  c. NovoLog
  d. Novolin R

Question 2

The nurse should expect to assess which clinical manifestations in an adolescent with Cushing syndrome? (Select all that apply.)
 
  a. Hyperglycemia
  b. Hyperkalemia
  c. Hypotension
  d. Cushingoid features
  e. Susceptibility to infections

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Answer to Question 1

ANS: C, D
Rapid-acting insulin (e.g., NovoLog) reaches the blood within 15 minutes after injection. The insulin peaks 30 to 90 minutes later and may last as long as 5 hours. Short-acting (regular) insulin (e.g., Novolin R) usually reaches the blood within 30 minutes after injection. The insulin peaks 2 to 4 hours later and stays in the blood for about 4 to 8 hours. Intermediate-acting insulins (e.g., Novolin N) reach the blood 2 to 6 hours after injection. The insulins peak 4 to 14 hours later and stay in the blood for about 14 to 20 hours. Long-acting insulin (e.g., Lantus) takes 6 to 14 hours to start working. It has no peak or a very small peak 10 to 16 hours after injection. The insulin stays in the blood between 20 and 24 hours.

Answer to Question 2

ANS: A, D, E
In Cushing syndrome, physiologic disturbances seen are Cushingoid features hyperglycemia, susceptibility to infection, hypertension, and hypokalemia.

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Thanks for the timely response, appreciate it

[bblaney]

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