Author Question: The nurse is administering an 0800 dose of NPH insulin to an insulin dependent diabetic child. Based ... (Read 109 times)

Marty · **on:** Jun 27, 2018

The nurse is administering an 0800 dose of NPH insulin to an insulin dependent diabetic child. Based on 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 next morning.
3. 0830 to a mid-morning snack.
4. Lunch and dinner.

Question 2

Antonio is assessing an adolescent. Identify the top priority.

1. Converse about peers
2. Allow time to express feelings
3. Use the same language as the adolescent
4. Emphasize that confidentiality will be maintained

HandsomeMarc · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
Feedback
1. A hypoglycemic reaction between breakfast and lunch would be associated with a short-acting insulin.
2. Between bedtime to breakfast the next morning would be associated with a long-acting insulin.
3. The 0830 to mid-morning hypoglycemia would be related to a rapid-acting insulin.
4. NPH is an intermediate-acting insulin that peaks in 6-12 hours. If administered at 0800, the risk of a hypoglycemic reaction would be at its peak between lunch and dinner.

Answer to Question 2

2
Feedback
1. Conversing about peers is not a focus of the assessment.
2. The adolescent needs time to express feelings during the assessment.
3. Adolescents should be spoken to in the same manner as an adult.
4. Confidentiality cannot be maintained if the adolescent speaks of hurting himself/herself or others.