A patient received the evening dose of Lispro subcutaneously at ...

[javeds]

A patient received the evening dose of Lispro subcutaneously at 16:30. What time will symptoms of hypoglycemia likely occur?
 
  a. 19:00
  b. 18:30
  c. 01:30
  d. 06:00

Question 2

Which instruction will the nurse include in the discharge teaching of a patient taking psyllium?
 
  a. Administer with a full glass of water.
  b. Limit the intake of high-fiber foods.
  c. Avoid mixing in juice.
  d. Fat soluble vitamin deficiency is common.

[frejo]

Answer to Question 1

ANS: B
The most rapid-acting insulin, Lispro, peaks within 1 to 2 hours after administration. The peak time of insulin is when patients would most likely exhibit symptoms of hypoglycemia, particularly if they have inadequate dietary intake. The time of 19:00 would be past the peak of action and after signs of hypoglycemia would have appeared. The times of 01:30 and 06:00 are long after the peak of action and the time when signs of hypoglycemia would have appeared.

Answer to Question 2

ANS: A
It is important that bulk-forming laxatives be dispersed in a full glass of water or juice before administration. High-fiber foods should not be limited. Psyllium may be mixed in juice for administration. Fat soluble vitamin deficiency is not a common adverse effect.

[javeds]

Gracias!

[bdobbins]

Wow, this really help