A school-age child with diabetes gets 30 units of NPH insulin at ...

[MGLQZ]

A school-age child with diabetes gets 30 units of NPH insulin at 0800. According to when this insulin peaks, the child should be at greatest risk for a hypoglycemic episode between when?
 
  a. Lunch and dinner
  b. Breakfast and lunch
  c. 0830 to his midmorning snack
  d. Bedtime and breakfast the next morning

Question 2

To help an adolescent deal with diabetes, the nurse needs to consider which characteristic of adolescence?
 
  a. Desire to be unique
  b. Preoccupation with the future
  c. Need to be perfect and similar to peers
  d. Awareness of peers that diabetes is a severe disease

[srodz]

Answer to Question 1

ANS: A
Intermediate-acting (NPH and Lente) insulins 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.

Answer to Question 2

ANS: C
Adolescence is a time when the individual has a need to be perfect and similar to peers. Having diabetes makes adolescents different from their peers. Adolescents do not wish to be unique; they desire to fit in with the peer group. An adolescent is usually not future oriented. Awareness of peers that diabetes is a severe disease would further alienate the adolescent with diabetes. The peer group would focus on the differences.