Author Question: The diabetes educator would teach a patient that different types of insulin have different onsets of ... (Read 13 times)

mrsjacobs44 · **on:** Jul 23, 2018

The diabetes educator would teach a patient that different types of insulin have different onsets of action. Arrange these types of insulin in order of the onset starting with the quickest onset.

1. Insulin detemir (Levemir)
2. Insulin glulisine (Apidra)
3. Insulin lispro (Humalog)
4. Regular insulin (Humulin R)
5. Insulin isophane (NPH)

Question 2

The mother of an 8-year-old client who is receiving methylphenidate (Ritalin) tells the nurse the child has not slept well since being started on this drug. Which assessment question is a priority for this client?

1. Is your child having problems at school?
2. Do you give the medication with food?
3. Does your child have sleep apnea?
4. What time do you give your child the medication?

briezy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3,2,4,5,1

Global Rationale: Insulin lispro (Humalog) has an onset of 515 minutes. Insulin glulisine (Apidra) has an onset of 1530 minutes. Regular insulin (Humulin R) has an onset of 3060 minutes. Insulin isophane (NPH) has an onset of 12 hours. Insulin detemir (Levemir) has an onset that is gradual over 24 hours.

Answer to Question 2

4

Rationale 1:Is your child having problems at school? is incorrect because although school problems could be related to insomnia, the nurse should assess for side effects of the medication.
Rationale 2:There is no relationship between the side effect of insomnia and the intake of food.
Rationale 3:Sleep apnea is uncommon in children.
Rationale 4: Stimulants such as methylphenidate cause insomnia. It is important for the nurse to know when the drug is taken. Methylphenidate should be taken early in the day to prevent insomnia.

Global Rationale: Stimulants such as methylphenidate cause insomnia. It is important for the nurse to know when the drug is taken. Methylphenidate should be taken early in the day or at least six hours before bedtime to prevent insomnia.