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NCLEX-RN · Question #650

An IDDM client's condition stabilizes. He begins to receive a daily injection of NPH insulin at 6:30 AM. The nurse can most likely expect a hypoglycemic reaction to occur that same day at:

The correct answer is B. 2:30 PM-4:30 PM. (A) This time describes the time of onset of NPH insulin's action, rather than its peak effect. (B) NPH insulin, an intermediateacting insulin, usually begins to lower serum glucose levels about 2 hours after administration. The action of NPH insulin peaks 8-14 hours after…

Physiological Integrity: Pharmacological and Parenteral Therapies

Question

An IDDM client's condition stabilizes. He begins to receive a daily injection of NPH insulin at 6:30 AM. The nurse can most likely expect a hypoglycemic reaction to occur that same day at:

Options

  • A8:30 AM-10:30 AM
  • B2:30 PM-4:30 PM
  • C7:30 PM-9:30 PM
  • D10:30 PM-11:30 PM

How the community answered

(37 responses)
  • A
    8% (3)
  • B
    86% (32)
  • C
    3% (1)
  • D
    3% (1)

Explanation

(A) This time describes the time of onset of NPH insulin's action, rather than its peak effect. (B) NPH insulin, an intermediateacting insulin, usually begins to lower serum glucose levels about 2 hours after administration. The action of NPH insulin peaks 8-14 hours after administration. It has a 20-30 hour duration. (C) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM. (D) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM.

Topics

#NPH insulin#insulin peak action#hypoglycemia timing#intermediate-acting insulin

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