Exam 15: Insulin Administration

A nurse is preparing a patient's injection of 43 units NPH insulin. Which of the following syringes is the most appropriate to use for this injection?

The nurse is caring for a patient with diabetes mellitus who has pressed the nurse call complains of feeling weak, dizzy, and sweaty. Upon checking a finger stick glucose, the nurse notes the reading is 56 mg/dL. What should the nurse do first?

When mixing NPH insulin with regular insulin, which of the following should the nurse draw up in the syringe first?

The nurse is preparing to administer Lantus insulin 36 units. Mark the syringe below at the correct dosage.

What type of syringe should the nurse choose to administer U-100 insulin?

What is the duration of action of long-acting insulins such as insulin glargine (Lantus) and insulin detemir (Levemir)?

A nurse suspects that her unconscious patient is experiencing hypoglycemia. The patient has a saline lock in place. Per protocol, what should the nurse do first?

A provider orders this sliding scale insulin protocol for a patient: Administer insulin aspart (Humalog), subcut, before each meal, Based on the following blood glucose (BG) levels: BG level less than 110 mg/dL 0 units BG level between 111 and 150 mg/dL 2 units BG level between 151 and 170 mg/dL 4 units BG level between 171 and 199 mg/dL 6 units BG level over 200 mg/dL Call provider. The patient's blood glucose just before breakfast is 132 mg/dL. How many units of insulin aspart (Humalog) will the nurse administer?

The nurse is caring for a patient with diabetes when the laboratory calls with a blood glucose value of 329 mg/dL for the client. Which term describes this finding?

Place the steps of mixing NPH and regular insulin in the correct order.

Which term describes insulin that is derived from outside the human body?

From what source is human insulin produced?

Which is an example of a rapid-acting insulin?

The nurse has received an order to mix regular insulin 9 units with NPH insulin 15 units. Mark the syringe pictured with the final amount of insulin that the nurse will correctly administer.

The nurse is admitting a client with type 1 diabetes mellitus to the medical-surgical unit. From the list of healthcare provider orders below, which ones should the nurse question? Select all that apply.

How many units of insulin does the syringe below contain?

How often should the catheter site for an insulin pump be changed?

The nurse has just administered glucagon 1 mg intramuscularly to a patient with a finger stick glucose of 32 mg/dL. The patient is unconscious and does not have IV access. What should the nurse do next?