A nurse cares for a client who has diabetes mellitus. The nurse ...

[bobypop]

A nurse cares for a client who has diabetes mellitus. The nurse administers 6 units of regular insulin and 10 units of NPH insulin at 0700. At which time should the nurse assess the client for potential problems related to the NPH insulin?
 
  a. 0800
  b. 1600
  c. 2000
  d. 2300

Question 2

A nurse teaches a client with diabetes mellitus about sick day management. Which statement should the nurse include in this client's teaching?
 
  a. When ill, avoid eating or drinking to reduce vomiting and diarrhea.
  b. Monitor your blood glucose levels at least every 4 hours while sick.
  c. If vomiting, do not use insulin or take your oral antidiabetic agent.
  d. Try to continue your prescribed exercise regimen even if you are sick.

[cuttiesgirl16]

Answer to Question 1

ANS: B
Neutral protamine Hagedorn (NPH) is an intermediate-acting insulin with an onset of 1.5 hours, peak of 4 to 12 hours, and duration of action of 22 hours. Checking the client at 0800 would be too soon. Checking the client at 2000 and 2300 would be too late. The nurse should check the client at 1600.

Answer to Question 2

ANS: B
When ill, the client should monitor his or her blood glucose at least every 4 hours. The client should continue taking the medication regimen while ill. The client should continue to eat and drink as tolerated but should not exercise while sick.

[bobypop]

Thank you

[cuttiesgirl16]

Happy to help you