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A patient is prescribed long-acting insulin (glargine) for basal control of blood glucose. Which statement by the nurse is correct when educating the patient?

A.

"This insulin peaks in 2-4 hours."

B.

"You will need to take this insulin with your meals."

C.

"This insulin provides a steady level of insulin over 24 hours."

D.

"You will need to administer this insulin three times a day."

Answer and Explanation

The Correct Answer is C

A. This insulin does not peak like short-acting insulin; glargine provides a consistent release of insulin without a peak effect.  

 

B. Long-acting insulin is not meant to be taken with meals, as it provides basal control and is typically taken once daily, not with each meal.  

 

C. This statement is correct; glargine provides a steady level of insulin over 24 hours, helping to maintain consistent blood glucose levels throughout the day and night.  

 

D. Long-acting insulin is usually administered once daily, so stating that it must be given three times a day is incorrect.


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Correct Answer is A

Explanation

A. Wearing protective equipment such as gloves, mask, and gown is essential when preparing cytotoxic drugs to protect the nurse from potential exposure to harmful substances.

B. While washing hands is important for general hygiene, it does not specifically protect against cytotoxic drug exposure.

C. Mixing medication in a 1-L bag does not offer specific protection to the nurse and is not a standard measure for safety.

D. Administering medication intramuscularly (IM) is a route of administration and does not relate to protection measures while preparing cytotoxic drugs.

Correct Answer is ["A","B","E"]

Explanation

A. Improved sleep is correct; an effective antidepressant can help normalize sleep patterns, which is a positive indicator of treatment efficacy.

B. Decreased anxiety is correct; fluoxetine is also effective in treating anxiety symptoms, so a reduction indicates the medication is working.

C. Reduced appetite is incorrect; while some individuals may experience appetite changes, a reduced appetite is not an indicator of effectiveness and could indicate a side effect.

D. Weight loss is incorrect; while weight loss can occur, it is not a definitive measure of the effectiveness of fluoxetine and can also signify side effects.

E. Interest in physical activity is correct; an increase in motivation and engagement in activities is a strong indicator of improvement in depressive symptoms.

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