This was a question that came up on a practice exam for one of my classes.
A type one diabetic is prescribed to take Regular and NPH before breakfast. The client give insulin at 6am before breakfast. The nurse should teach the client to:
A. Avoid snacks between breakfast and lunch
B. Delay dinner until after 6pm
C. Eat a low carbohydrate lunch at noon
D. Have a snack at 3pm
So what do you think the correct answer was?
I have to give them a little credit for saying a type one diabetic, and then following it with a question about insulin, but couldn't they have picked any of the insulins created in the last 10 years? One that doesn't promote a strict diet and schedule? I would like to add an alternative answer
E. Consult their endocrinologist for a prescription for Novolog and Lantus.
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7 comments:
The answer is D. I see these types of questions a lot.
Sadly, NPH and R are still somewhat commonly used.
Hey- are you taking the NCLEX soon? I can't remember if you're graduating. I'm in the process of filing a doctor's letter with the state to see if I can be "approved" to bring my pump, meter, and sugar to the exam with me. Good lord.
Why do none of those answers make sense to me. At best I was going to guess C. Although, when I was on Humalog and NPH, I would need a bunch of carbs at lunch not to go low. :|
F - Consult their endocrinologist for an insulin pump.... : )
Christine is correct- the answer is D.
I've got another year before I take my NCLEX, but we take the ATI assessments after every clinical rotation. They are supposed to be quite similar to NCLEX.
I knew it wasn't B because most things in medicine(on ADA recommendations) are still high carb. But I was thrown at first because my NPH peak was at lunch, and I would need more insulin in the afternoon for a snack.
LOL! I was thinking the same thing. Last time I used R and NPH was sometime in the 90s??
oh, i remember the 3pm snacks... but i your answer E is probably a little more 21st century ;)
Hello,
Thanks for the question, answer is D. And yes NPH and R still use today. Sad I think.
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