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A nurse is preparing to administer short-acting insulin to a patient with type 1 diabetes. Which of the following should the nurse keep in mind regarding this insulin type?

A.

It has a peak effect of 4-6 hours.

B.

It should be given once daily in the evening.

C.

It starts to take effect within 30 minutes to 1 hour after administration.

D.

It has a duration of action of 24 hours.

Answer and Explanation

The Correct Answer is C

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.


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Correct Answer is A

Explanation

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B. Increasing the dose of warfarin is inappropriate in this scenario because the INR is already elevated; it would further increase bleeding risk.

C. While heparin can be used for anticoagulation, it is not appropriate to administer it while the INR is dangerously high without reversing the warfarin first.

D. Continuing warfarin is unsafe at this INR level due to the high risk of bleeding; monitoring for symptoms without intervention is not adequate care.

Correct Answer is B

Explanation

A. The statement regarding antiviral drugs not preventing the spread of the disease is accurate, as these medications do not eliminate the virus or prevent transmission.

B. Saying that antivirals are the cure for viral infections is incorrect; while they can reduce symptoms and viral load, they do not cure the infection.

C. The instruction about topical antivirals not being applied more frequently than prescribed is correct and reflects safe medication use.

D. The recommendation to use a finger cot or gloves when applying topical antivirals is correct to prevent contamination and ensure proper application.

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