The nurse administers a combination of regular insulin and NPH insulin subcutaneously to a client at 0800. At which time should the nurse initially assess the client for hypoglycemia based on the peaks of the medications?A. 0830B. 1000C. 1200D. 1400
Question
The nurse administers a combination of regular insulin and NPH insulin subcutaneously to a client at 0800. At which time should the nurse initially assess the client for hypoglycemia based on the peaks of the medications?A. 0830B. 1000C. 1200D. 1400
Solution
The nurse should initially assess the client for hypoglycemia at 1000 (Option B). Here's why:
Regular insulin is a short-acting insulin that starts working within 30 minutes after injection, peaks in 2 to 3 hours, and keeps working for up to 8 hours. NPH (Neutral Protamine Hagedorn) insulin is an intermediate-acting insulin that starts working within a few hours after injection and tends to peak around 4 to 12 hours, lasting for about 18-26 hours.
Given that the insulin was administered at 0800, the peak of the regular insulin would be around 1000, which is when the nurse should start assessing the client for hypoglycemia. Hypoglycemia (low blood sugar) is a possible side effect of insulin, and it's most likely to occur when the insulin is at its peak level in the body.
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