HESI RN
HESI Pharmacology Exam 2 Questions
Extract:
History and Physical
The client is a 26-year-old female with acute appendicitis. She has a 12-year history of type 1 diabetes and no other significant medical history. The appendectomy was completed without issue, and the client will be admitted to the surgical floor to recover.
Nurses notes
0730
Admitted the client. She is awake and alert. She rates her pain 2/10. Her pulses are equal bilaterally. Heart rate is 76 beats per minute, normal sinus rhythm. Her oxygen saturation is 100% on room air. She has a gauze dressing over her surgical site, which is clean and dry. Her temperature is 98.5° F (37° C). She urinated 50 ml upon arrival in the unit and is stating she is very thirsty. The patient states her last insulin glargine dose was this morning before surgery.
Laboratory results
Point of care blood glucose 279 mg/dL (15.5 mmol/L)
Orders
Admit to the surgical floor
Dextrose 5% and 0.9% sodium chloride to infuse at 125 mL/hr
Advance diet as tolerated
Insulin glargine 12 units subcutaneous every 12 hours
Ceftriaxone 2 g IV every 24 hours for 3 days, first dose given in surgery
Insulin lispro 1 unit subcutaneously per 15 carbohydrates
Flow sheet
2 units of insulin lispro given
The nurse administers the insulin lispro at 0745 and documents it in the chart.
Question 1 of 5
Exhibits:Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.The nurse should expect for the insulin lispro to start working at ____ and to peak at ____.
Correct Answer: A,C
Rationale: Insulin lispro, a rapid-acting insulin, begins working in 10-20 minutes and peaks at 1-2 hours, aligning with its pharmacokinetic profile for rapid glucose control. The 15-30 minute onset is less accurate.
Extract:
Question 2 of 5
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Rationale:
Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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