Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. It has a peak effect of 4-6 hours.
It has a peak effect of 4-6 hours is incorrect; short-acting insulin typically peaks between 2 to 3 hours after administration.
B. It should be given once daily in the evening.
It should be given once daily in the evening is incorrect; short-acting insulin is usually administered before meals, not as a once-daily dose.
C. It starts to take effect within 30 minutes to 1 hour after administration.
It starts to take effect within 30 minutes to 1 hour after administration is correct; this timing is critical for managing blood glucose levels during meals.
D. It has a duration of action of 24 hours.
It has a duration of action of 24 hours is incorrect; short-acting insulin usually has a duration of about 3 to 6 hours.
This question is an excerpt from Nurse Dive's nursing test bank - Med Surg Exam Antelope Valley College Proctored Exam. Take the full exam now
Full Explanation
A. It has a peak effect of 4-6 hours is incorrect; short-acting insulin typically peaks between 2 to 3 hours after administration.
B. It should be given once daily in the evening is incorrect; short-acting insulin is usually administered before meals, not as a once-daily dose.
C. It starts to take effect within 30 minutes to 1 hour after administration is correct; this timing is critical for managing blood glucose levels during meals.
D. It has a duration of action of 24 hours is incorrect; short-acting insulin usually has a duration of about 3 to 6 hours.
Similar Questions
A nurse is educating a patient about the use of famotidine. Which statement by the patient indicates the need for further teaching?
A. "I will take this medication at bedtime to help with my symptoms."
"I will take this medication at bedtime to help with my symptoms." is correct; famotidine is often taken at bedtime to reduce nocturnal gastric acid secretion and help manage symptoms.
B. "I can take this medication with antacids for faster relief."
"I can take this medication with antacids for faster relief." is incorrect; antacids can interfere with the absorption of famotidine, and patients should be advised to separate the doses by at least an hour.
C. "I should avoid alcohol while taking this medication."
"I should avoid alcohol while taking this medication." is correct; alcohol can increase the risk of gastrointestinal irritation and should generally be avoided.
D. "I will monitor for signs of unusual bleeding or bruising."
"I will monitor for signs of unusual bleeding or bruising." is correct; while famotidine is not typically associated with bleeding risks, monitoring for signs of unusual bleeding is a good practice when taking any medication, particularly in patients with risk factors.
Full Explanation
A. "I will take this medication at bedtime to help with my symptoms." is correct; famotidine is often taken at bedtime to reduce nocturnal gastric acid secretion and help manage symptoms.
B. "I can take this medication with antacids for faster relief." is incorrect; antacids can interfere with the absorption of famotidine, and patients should be advised to separate the doses by at least an hour.
C. "I should avoid alcohol while taking this medication." is correct; alcohol can increase the risk of gastrointestinal irritation and should generally be avoided.
D. "I will monitor for signs of unusual bleeding or bruising." is correct; while famotidine is not typically associated with bleeding risks, monitoring for signs of unusual bleeding is a good practice when taking any medication, particularly in patients with risk factors.
A client's current drug regimen includes a nonsteroidal antiinflammatory drug (NSAID) and a loop diuretic. What assessment should the nurse consequently prioritize?
A. heart rate
heart rate is not the primary concern when assessing the interaction between NSAIDs and loop diuretics.
B. blood pressure
blood pressure is correct; the combination of an NSAID and a loop diuretic can lead to fluid retention, potentially elevating blood pressure. Monitoring blood pressure is crucial in this context.
C. cognition
cognition is not directly impacted by the combination of these medications.
D. assessment for signs of bleeding
assessment for signs of bleeding is important when taking NSAIDs due to their effect on platelet function, but the more immediate concern is the potential fluid retention affecting blood pressure.
Full Explanation
A. heart rate is not the primary concern when assessing the interaction between NSAIDs and loop diuretics.
B. blood pressure is correct; the combination of an NSAID and a loop diuretic can lead to fluid retention, potentially elevating blood pressure. Monitoring blood pressure is crucial in this context.
C. cognition is not directly impacted by the combination of these medications.
D. assessment for signs of bleeding is important when taking NSAIDs due to their effect on platelet function, but the more immediate concern is the potential fluid retention affecting blood pressure.
A client with depression has been taking citalopram, an SSRI, for several months and has presented for a follow-up assessment. The client tells the nurse, "I've been reading a lot online about the benefits of St. John's wort for depression, so I've started taking it once per day." In addition to referring the client to the provider, what is the nurse's best response?
A. "There can be an unsafe reaction between your antidepressant and St. John's wort, which is why taking them both is discouraged."
"There can be an unsafe reaction between your antidepressant and St. John's wort, which is why taking them both is discouraged." is correct; St. John's wort can reduce the effectiveness of SSRIs and may increase the risk of serotonin syndrome, making it vital for the nurse to address this safety concern.
B. "Herbal remedies often contain unknown doses of the desired ingredient, which can be dangerous."
"Herbal remedies often contain unknown doses of the desired ingredient, which can be dangerous." is a valid point, but it does not specifically address the interaction with the client’s current medication.
C. "It's very important that you not take the St. John's wort at the same time of day as your antidepressant."
"It's very important that you not take the St. John's wort at the same time of day as your antidepressant." is misleading; the concern is not just about timing but about taking both together at all.
D. "It's very important that you comply with your prescribed treatment."
"It's very important that you comply with your prescribed treatment." while true, this response does not directly address the specific risks associated with combining St. John's wort and citalopram.
Full Explanation
A. "There can be an unsafe reaction between your antidepressant and St. John's wort, which is why taking them both is discouraged." is correct; St. John's wort can reduce the effectiveness of SSRIs and may increase the risk of serotonin syndrome, making it vital for the nurse to address this safety concern.
B. "Herbal remedies often contain unknown doses of the desired ingredient, which can be dangerous." is a valid point, but it does not specifically address the interaction with the client’s current medication.
C. "It's very important that you not take the St. John's wort at the same time of day as your antidepressant." is misleading; the concern is not just about timing but about taking both together at all.
D. "It's very important that you comply with your prescribed treatment." while true, this response does not directly address the specific risks associated with combining St. John's wort and citalopram.