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Author Question: A client receives insulin lispro at 8 a.m. The nurse would be alert for signs and symptoms of ... (Read 38 times)

sarasara

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on: Jul 23, 2018
A client receives insulin lispro at 8 a.m. The nurse would be alert for signs and symptoms of hypoglycemia at about which time?
 
  A) 8:15 a.m.
  B) 9 a.m.
  C) 10 a.m.
  D) 11 a.m.

Question 2

A nurse is caring for a client with type 2 diabetes receiving a meglitinide. The nurse reviews the client's medical record based on the understanding that which condition would contraindicate the use of this drug?
 
  A) Diabetic ketoacidosis
  B) Kidney disease
  C) Severe heart failure
  D) Liver disease


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sierrahalpin

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Reply #1 on: Jul 23, 2018
Answer to Question 1

Ans: B
Feedback:
Insulin lispro reaches its peak action in 30 minutes to 1.5 hours. Therefore, the client's greatest risk for hypoglycemia would be during this time or about 9 a.m. Onset of action occurs in 5 to 10 minutes, so the drug would begin being effective at this time.

Answer to Question 2

Ans: A
Feedback:
Meglitinides are contraindicated in clients with diabetic ketoacidosis and severe endocrine disease. Thiazolidinediones are contraindicated in clients with severe heart failure and used with caution in clients with kidney disease, severe heart failure, and liver disease.


sarasara

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

tranoy

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Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

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