GALEN PHARM NUR 210 EXAM 3 ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS, Quizzes of Pharmacy

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GALEN PHARM NUR 210 EXAM 3

ACTUAL EXAM QUESTIONS WITH

DETAILED VERIFIED ANSWERS

ALREADY GRADED A+

"A nurse is caring for a patient who has been prescribed amlodipine. Which patient should cause concern? A patient with a history of depression. A patient with a blood pressure of 144/82. A patient on ibuprofen for arthritis. A patient who is prescribed lisinopril for elevated blood pressure. - CORRECT ANSWER ✅ A patient on ibuprofen for arthritis." "Lisinopril has been ordered for a patient. The nurse should teach the patient that the most commonly occurring side effect of an angiotensin-converting enzyme drug is which of the following? Nausea and vomiting Dizziness and headaches Upset stomach Constant, irritating cough - CORRECT ANSWER ✅ Constant, irritating cough" "A patient has been taking spironolactone to treat heart failure. The nurse will monitor for hypoglycemia. hypermagnesemia hypocalcemia. hyperkalemia. - CORRECT ANSWER ✅ hyperkalemia Spironolactone is a potassium-sparing diuretic and can cause hyperkalemia." "What does the nurse know to be correct concerning the use of mannitol in patients? It increases intraocular pressure. It decreases intracranial pressure. It causes sodium and potassium retention. It causes diuresis in several days. - CORRECT ANSWER ✅ It decreases intracranial pressure." "The nurse is caring for a patient who is to begin receiving a thiazide diuretic to treat heart failure. When performing a health history on this patient, the nurse will be concerned about a history of which condition?

Hypertension Gout Glaucoma Asthma - CORRECT ANSWER ✅ gout" "The nurse is caring for a patient who develops marked edema and a low urine output as a result of heart failure. Which medication will the nurse expect the provider to order for this patient? Digoxin Spironolactone Furosemide Hydrochlorothiazide - CORRECT ANSWER ✅ furosemide Furosemide is a loop diuretic and is given when the patient's condition warrants immediate removal of body fluid, as in heart failure. Digoxin improves cardiac function but does not remove fluid quickly. The other diuretics may be used when immediate fluid removal is not necessary." "what medications have the ending OLOL? - CORRECT ANSWER ✅ beta blockers metoprolol, propranolol" "what are beta blockers used for? - CORRECT ANSWER ✅ HTN antidysrhythmic and antiangina can be used as dual therapy along with diuretic for African Americans" "beta blocker adverse reactions - CORRECT ANSWER ✅ depression, decreased libido orthostatic hypotension bradycardia, hypotension masking of hypoglycemia" "beta blocker contraindications - CORRECT ANSWER ✅ heart block, bradycardia asthma (unless selective beta 1 such as propranolol) caution in renal dysfunction and pregnancy" "beta blocker interactions - CORRECT ANSWER ✅ decrease effect with NSAIDs increased effect with other antihypertensives and antidysrhythmics increased risk of hypoglycemia with insulin and sulfonylureas and masks the symptoms" "beta blocker interventions - CORRECT ANSWER ✅ Monitor vital signs - report marked changes in blood pressure or pulse below 60 Report bothersome side effects that don't improve such as dizziness, lightheadedness, stuffy nose, or depression Provide for safety - orthostatic hypotension" "beta blocker teaching - CORRECT ANSWER ✅ Take medication at the same time every day Therapeutic effect can take several weeks

peripheral edema erectile dysfunction hypotension, orthostatic hypotension bradycardia" "amlodipine contraindications - CORRECT ANSWER ✅ caution with hepatic impairment (liver failure)" "amlodipine interactions - CORRECT ANSWER ✅ other drugs that lower BP cold medications" "what medications end in PRIL? - CORRECT ANSWER ✅ angiotensin-converting enzyme (ACE) inhibitors lisinopril" "what is lisinopril and what is it used for? - CORRECT ANSWER ✅ ACE inhibitor used for HTN heart failure can be used as dual therapy along with a diuretic for African Americans" "lisinopril side effects and adverse reactions - CORRECT ANSWER ✅ constant irritating non-productive cough (dry cough) HA GI upset insomnia erectile dysfunction orthostatic hypotension, hypotension hyperkalemia tachycardia angioedema nephrotoxic (kidney damage)" "lisinopril contraindications - CORRECT ANSWER ✅ pregnancy potassium-sparing diuretics (spironolactone) salt substitutes that contain potassium" "lisinopril interactions - CORRECT ANSWER ✅ potassium containing medication other antihypertensives OTC cold medications" "what medications end in SARTAN or TAN? - CORRECT ANSWER ✅ angiotensin II receptor blockers (ARBs) valsartan"

"what is valsartan and what is it used for? - CORRECT ANSWER ✅ ARB used for HTN heart failure" "valsartan contraindications - CORRECT ANSWER ✅ pregnancy lactating" "valsartan interactions - CORRECT ANSWER ✅ other antihypertensives alcohol NSAIDs can increase renal dysfunction/hyperkalemia OTC cold medication" "valsartan side effects/adverse reactions - CORRECT ANSWER ✅ DOES NOT cause the cough of ACE inhibitors dizzy, drowsy, fatigue insomnia, HA erectile dysfunction orthostatic hypotension hyperkalemia hypotension renal dysfunction" "antihypertensives nursing interventions - CORRECT ANSWER ✅ monitor VS including HR on beta blockers and calcium channel blockers monitor for s/s of electrolyte imbalance with ACEs and ARBs alpha and beta blockers can take several weeks for full effects monitor for peripheral edema with alpha and beta blockers and calcium channel blockers too big of a drop in BP should be reported" "antihypertensives teaching - CORRECT ANSWER ✅ Take blood pressure and pulse daily and what to report Weigh daily report weight gain over 2 pounds in one day, 5 pounds in one week Get up slowly Do not stop antihypertensives abruptly Check with HCP before taking OTC meds (esp cold medicine) Beta blockers - teach diabetic patient interactions ACEs and ARBs - teach no salt substitute with K, low K diet, no K supplements" "A patient's blood pressure (BP) is 142/82 mm Hg. The health care provider prescribed a diuretic to lower this BP. The nurse knows that this BP is A. within the prehypertensive range. B. indicating stage 1 hypertension.

A. rebound bradycardia. B. rebound tachycardia. C. rebound hypertension. D. rebound hypotension. - CORRECT ANSWER ✅ Answer: C Rationale: Abrupt discontinuation of antihypertensive drugs may cause rebound hypertension" "A patient with hypertension is ordered to receive an ACE inhibitor. The nurse identifies a common benign side effect of this class of medications as A. hiccups. B. flatulence. C. abdominal distention. D. a dry cough. - CORRECT ANSWER ✅ Answer: D Rationale: The primary side effect of ACE inhibitors is a constant, irritated cough. Other side effects include nausea, vomiting, diarrhea, headache, dizziness, fatigue, insomnia, serum potassium excess, and tachycardia." "Before administering the alpha-adrenergic blocker prazosin (Minipress), it is most important for the nurse to assess the patient for a history of A. renal disease. B. refractory heart failure. C. hypertension. D. benign prostatic hypertrophy. - CORRECT ANSWER ✅ Answer: A Rationale: Prazosin (Minipress) is used to treat refractory heart failure, hypertension, and benign prostatic hypertrophy. Contraindication to use of the drug is renal disease." "When administering antihypertensive medications to Asian Americans, it is most important for the nurse to A. increase the dose of beta blockers. B. monitor blood pressure carefully. C. expect to administer the usual dose antihypertensive medications. D. understand that this cultural group does not believe in treating hypertension. - CORRECT ANSWER ✅ Answer: B Rationale: Asian Americans are twice as sensitive as whites to beta blockers and other antihypertensives. A reduction in antihypertensive dosing is frequently needed. Native Americans have a reduced or lower response to beta blockers compared with whites. Monitoring blood pressure and drug dosing should be an ongoing assessment for these cultural groups." "what is diphenhydramine and what is it used for? - CORRECT ANSWER ✅ Benadryl, first-generation antihistamine used for

allergic rhinitis itching (allergic reaction) prevent motion sickness sleep aid antitussive" "what is loratadine and what is it used for? - CORRECT ANSWER ✅ Claritin second generation nonsedating antihistamine (without drowsiness and anticholinergic effects) used for allergic rhinitis itching (allergic reaction)" "diphenhydramine and loratadine side effects - CORRECT ANSWER ✅ anticholinergic - Drowsiness, dry mouth, decreased secretions, dizziness, blurred vision, urinary retention, constipation photosensitivity excitability in children less drowsiness fewer anticholinergic side effects" "diphenhydramine contraindications and cautions - CORRECT ANSWER ✅ acute asthma attack severe liver disease caution with narrow-angle glaucoma BPH, urinary retention pregnancy interactions other CNS depressants" "diphenhydramine nursing interventions and teaching - CORRECT ANSWER ✅ administer in large muscle IM dilute and IV push over several minutes as can cause burning Avoid operating motor vehicles if drowsiness occurs. Avoid alcohol and other CNS depressants. Take as prescribed Use sugarless candy or gum or ice chips for temporary relief of mouth dryness. Instruct to use caution when giving to children - can cause excitability Older adult can be more sensitive and can cause confusion"

grapefruit juice" "what is guaifenesin and what is it used for? - CORRECT ANSWER ✅ Mucinex an expectorant used for common cold, flu, respiratory ilnesses side effects N/V, drowsy, HA" "cold medication interventions and teaching - CORRECT ANSWER ✅ monitor VS monitor secretions monitor for cough suppression & resp status with narcotics teach proper use of nasal spray increase fluids (esp with expectorant) don't drive until action is known decongestants can cause insomnia, take early in the day & rebound congestion for overuse read labels to know what medications are in multiple symptom control medications contact HCP if cough lasts longer than 1 week" "A patient is receiving dextromethorphan (Benylin). The nurse knows the drug is exerting its therapeutic effect when the patient experiences A. thinning of secretions. B. bronchodilation. C. decreased coughing. D. relief of nasal congestion. - CORRECT ANSWER ✅ Answer: C Rationale: Dextromethorphan (Benylin) is an antitussive which acts on the cough-control center in the medulla to suppress the cough reflex." "The nurse is teaching an older adult patient about guaifenesin (Robitussin). Which information is appropriate to include in this teaching? (Select all that apply.) A. Take the drug with a glass of water. B. Read labels on over-the-counter drugs and check with health care provider before taking cold remedies. C. Take the drug at bedtime. D. Advise patient to contact health care provider if cough persists more than 2 days. - CORRECT ANSWER ✅ Answer: A, B Rationale: Taking the drug with a glass of water can help loosen mucus. Labels should be read, and the health care provider should be checked with, to avoid conflict with other medications the patient is taking. Cold remedies should not be taken at bedtime. The health care provider should be notified if the cough lasts for 1 week." "A patient has been diagnosed with the common cold. The nurse should question if which drug is ordered to treat this patient? A. Antihistamines

B. Antitussives C. Expectorants D. Antibiotics - CORRECT ANSWER ✅ Answer: D Rationale: The common cold is caused by the rhinovirus. Antibiotics would not be used to treat a virus. Groups of drugs used to manage cold symptoms include antihistamines (H1 blockers), decongestants (sympathomimetic amines), antitussives, and expectorants." "Which medication is a first-generation antihistamine? A. Cetirizine (Zyrtec) B. Fexofenadine (Allegra) C. Diphenhydramine (Benadryl) D. Loratadine (Claritin) - CORRECT ANSWER ✅ Answer: C Rationale: Diphenhydramine (Benadryl) is a first-generation antihistamine. Most first-generation antihistamines cause drowsiness, dry mouth, and other anticholinergic symptoms. The other options are drugs that are second-generation antihistamines. These drugs have fewer anticholinergic effects and a lower incidence of drowsiness." "When teaching a patient about use of nasal decongestant sprays, the nurse informs the patient that they are most effective when administered for how many days? A. 3 days B. 10 days C. 14 days D. 20 days - CORRECT ANSWER ✅ Answer: A Rationale: Use of nasal decongestants for longer than 3 days could result in rebound nasal congestion. Instead of the nasal membranes constricting, vasodilation occurs, causing increased stuffy nose and nasal congestion. The nurse should emphasize the importance of limiting the use of nasal sprays and drops." "Before administering diphenhydramine (Benadryl) to a patient, it is most important for the nurse to assess the patient for a history of A. allergy to penicillin. B. hypertension. C. diabetes mellitus type 2. D. narrow-angle glaucoma. - CORRECT ANSWER ✅ Answer: D Rationale: Diphenhydramine (Benadryl) has anticholinergic effects and should not be used by patients with narrow-angle glaucoma." "Which statement about dextromethorphan does the nurse identify as being true? A. It is a narcotic antitussive. B. It suppresses the cough center of the medulla. C. It suppresses respirations. D. It causes physical dependence. - CORRECT ANSWER ✅ Answer: B

must rinse mouth after use to prevent oral fungal infection" "albuterol and salmeterol interventions and teaching - CORRECT ANSWER ✅ Monitor VS Increase fluids to help with secretions Monitor for side effects/adverse reactions Teach patient to monitor bp and pulse Check with HCp prior to administering cold medications Discuss anxiety reducing measures Teach proper use of inhaler (in care plan) Patients who use a beta-agonist inhalant should administer it 5 minutes before using other inhalers" "what is montelukast and what is it used for? - CORRECT ANSWER ✅ leukotriene modifier used for prevention of exercise-induced bronchospasm and maintenance treatment of asthma" "montelukast side effects and adverse reactions - CORRECT ANSWER ✅ HA, drowsiness, restlessness, insomnia, confusion hepatotoxic (liver damage) bleeding suicidal ideation" "montelukast contraindications and interactions - CORRECT ANSWER ✅ severe asthma attack caution with liver disease and suicidal can increase liver function tests (LFTs) anticoagulants aspirin, ibuprofen (cause bleeding and block drug action)" "montelukast interventions and teaching - CORRECT ANSWER ✅ Monitor vs, breath sounds Observe for side effects/adverse reactions Increase fluids to thin secretions Monitor lft's Do not take with anticoagulants and aspirin, ibuprofen Teach to stop smoking Teach its use is to prevent attacks - do not take during an attack Inform hcp if dyspnea increases Take medication daily in the evening (asthma symptoms usually worse at night)" "A patient is ordered the following inhalers, a bronchodilator (ipratropium) and a gluco-corticoid (Beclamethasone). The nurse will A. administer the bronchodilator 5 minutes before the glucocorticoid. B. mix the drugs and administer them together. C. administer the glucocorticoid 10 minutes before the bronchodilator. D. administer the glucocorticoid immediately after the bronchodilator. - CORRECT ANSWER ✅ Answer: A

Rationale: When a bronchodilator and a glucocorticoid inhaler are ordered together, the bronchodilator is administered first. The nurse should then wait for 5 minutes before administering the glucocorticoid. This allows time for bronchodilation to occur so the glucocorticoid is deposited deep into the respiratory system." "A patient has just received a nebulizer treatment of albuterol. It is most important for the nurse to assess the patient for the development of which side effect/adverse effect? A. Tremors B. Bradycardia C. Hypotension D. Hypoglycemia - CORRECT ANSWER ✅ Answer: A Rationale: Tremors are a side effect of Albuterol, as are tachycardia, hypertension, and hyperglycemia" "A patient with chronic obstructive pulmonary disease asks the nurse what the albuterol (Proventil) he is taking does. The nurse should inform the patient that albuterol is used to A. mobilize respiratory secretions. B. decrease the cough response. C. increase the work of breathing. D. dilate the larger airways. - CORRECT ANSWER ✅ Answer: D Rationale: Albuterol (Proventil, Ventolin) is a selective beta2 drug that is effective for treatment and control of asthma by causing bronchodilation with long duration of action." "The nurse is preparing class for patients with asthma. The nurse will inform the patients that leukotriene modifiers are used in the treatment of asthma to A. assist in opening narrowed airways. B. suppress the release of histamine and other mediators from the mast cells. C. loosen mucus from the airways. D. prevent serious complications from bacterial infections. - CORRECT ANSWER ✅ Answer: B Rationale: Leukotriene modifiers are used in the treatment of patients with asthma to suppress the release of histamine and other mediators from the mast cells. In the treatment of patients with COPD, bronchodilators such as sympathomimetics, parasympatholytics, and methylxanthines are used to assist in opening narrowed airways; expectorants are used to loosen mucus from the airways, and antibiotics may be prescribed to prevent serious complications from bacterial infection." "A patient is using a glucocorticoid inhaler. The patient asks the nurse why he has to rinse his mouth out after using the glucocorticoid inhaler. The nurse should inform the patient that rinsing the mouth is done to A. avoid mucous membrane breakdown. B. increase hydration of the oral mucosa. C. decrease risk of infection. D. slow the development of cavities. - CORRECT ANSWER ✅ Answer: C Rationale: Side effects associated with orally inhaled glucocorticoids are generally local (throat irritation, hoarseness, dry mouth, coughing) rather than systemic. Oral, laryngeal, and pharyngeal fungal infections have occurred. Oropharyngeal infections may be prevented by using a spacer with the inhaler to reduce

"A patient has developed active tuberculosis and is prescribed isoniazid and rifampin. Which information will the nurse include in teaching the patient about taking this drug? (Select all that apply.) A. Isoniazid should be given 1 hour before or 2 hours after meals. B. Have periodic eye examinations as ordered by the health care provider. C. Compliance with drug regimen is essential. D. Report numbness, tingling, and burning of hands and feet. E. Warn patient that rifampin may turn body fluids a harmless green color. - CORRECT ANSWER ✅ Answer: A, B, C, D Rationale: Isoniazid should be given 1 hour before or 2 hours after meals for better absorption. Periodic eye examinations should be done as these drugs may cause visual disturbances. Compliance with drug regimen is essential to prevent drug resistance. Numbness, tingling, or burning of hands and feet should be reported. Rifampin may turn body fluids a harmless reddish orange color." "A middle-aged adult is diagnosed with tuberculosis. Which is true of treatment for this diagnosis? A. Treatment may take about 10 days to 2 weeks. B. Usually two to three agents are needed. C. The bacteria is usually resistant to treatment therapy. D. Treatment for tuberculosis is usually without side effects. - CORRECT ANSWER ✅ Answer: B Rationale: Single-drug therapy for TB is not effective. Usually two to three drugs are needed. The total treatment plan is usually 6 to 9 months. Although unusual, resistance can occur. The patient should be taught methods to prevent and report side effects and adverse reactions to therapy." "When teaching a patient about isoniazid (INH) and rifampin drug therapy, which statement will the nurse include? A. "Take isoniazid with meals." B. "Double the amount of vitamin C in your diet to prevent the peripheral neuropathy associated with isoniazid therapy." C. "Notify the primary health care provider immediately if your urine turns a red-orange color." D. "Avoid exposure to direct sunlight." - CORRECT ANSWER ✅ Answer: D Rationale: The patient should be taught to avoid direct sunlight. The patient should be taught that INH should be administered 1 hour before or 2 hours after meals. Pyridoxine vitamin B6) is used with INH therapy to decrease peripheral neuropathy. Rifampin use causes the urine to turn a red-orange color." "what is insulin used for? - CORRECT ANSWER ✅ reduce blood glucose in diabetes" "insulin side effects and adverse reactions - CORRECT ANSWER ✅ Hypoglycemia Headache, dizziness, confusion, slurred speech, hunger, weakness Nervousness, anxiety, agitation Tremors, sweating Flushing, lethargy Redness, irritation or swelling at injection site Tachycardia, palpitations, hypoglycemic reaction Shock, anaphylaxis, ketoacidosis"

"insulin interactions and contraindications - CORRECT ANSWER ✅ Decreased glucose with aspirin, oral anticoagulants, alcohol, other hypoglycemics, Beta blockers Increased glucose with thiazides, glucocorticoids, oral contraceptives, thyroid drugs, smoking hypoglycemia allergy" "insulin lispro onset, peak, and duration - CORRECT ANSWER ✅ onset 15-30 min peak 30-60 min duration 3 to 5 hours" "insulin regular onset, peak, and duration - CORRECT ANSWER ✅ onset 30 min peak 1.5 to 3.5 hours duration 4 to 12 hours" "NPH insulin onset, peak, and duration - CORRECT ANSWER ✅ onset 1 to 2 hours peak 4 to 12 hours duration 14 to 24 hours" "insulin glargine onset, peak, and duration - CORRECT ANSWER ✅ onset 1 to 1.5 hours duration 24 hours administered at bedtime" "what is 70/30 insulin? - CORRECT ANSWER ✅ composed of short and intermediate OR rapid and intermediate NPH 70% and regular 30%" "how is insulin administered? - CORRECT ANSWER ✅ SQ prevents lipodystrophy" "insulin storage - CORRECT ANSWER ✅ Keep unopened insulin in refrigerator. Remove from refrigerator 30 minutes before injection to decrease tissue irritation May store open insulin at room temperature for 30 days or in the refrigerator for 3 months Avoid storing insulin in direct sunlight or at high temperatures." "insulin nursing interventions and teaching - CORRECT ANSWER ✅ Monitor vital signs and glucose levels, hBA1c Instruct patient to report hypoglycemia and hyperglycemia & that hypoglycemia more likely during the peak time of insulin Teach how to stop a hypoglycemic event Encourage compliance with diet, insulin, exercise. Advise patient to wear medical alert tag. Teach patient how to check blood glucose.

"oral hypoglycemics and exenatide interventions - CORRECT ANSWER ✅ VS, cardiac status Administer with food Monitor blood glucose, liver, kidney function Monitor for side effects, adverse reactions Prepare a teaching plan" "oral hypoglycemics and exenatide teaching - CORRECT ANSWER ✅ Signs and symptoms of hypoglycemia, how to prevent and how to stop hypoglycemic episode Insulin can be used as well when stress, surgery, meds Diet and exercise Medic alert tag Teach how to monitor blood glucose No alcohol Eat on schedule Take with food to minimize stomach upset" "what is glucagon and what is it used for? - CORRECT ANSWER ✅ hyperglycemic hormone used to treat insulin-induced hypoglycemia when other methods of providing glucose are not available or Pt non- responsive given SQ, IM or IV works in about 10 minutes" "A patient with type 1 diabetes mellitus is ordered insulin therapy once daily to be administered at bedtime. What is the type of insulin the patient is most likely receiving? A. Insulin glargine B. Lente insulin C. Lispro insulin D. Regular insulin - CORRECT ANSWER ✅ Answer: A Rationale: Insulin glargine (Lantus) is long-acting insulin with an onset of 1 hour. It is evenly distributed over a 24-hour duration of action; thus, it is administered once a day, usually at bedtime. Intermediate- acting insulins include neutral-protamine-Hagedorn (NPH), Lente, and Humulin N. Rapid-acting insulins include insulin lispro. Regular insulin is short acting." "When teaching the patient about the storage of insulin, which statement will the nurse include? A. Keep the insulin in the freezer. B. Warm the insulin in the microwave before administration. C. Do not place insulin in sunlight or a warm environment. D. Open insulin vials lose their strength after one year. - CORRECT ANSWER ✅ Answer: C Rationale: Unopened insulin vials are refrigerated until needed. Once an insulin vial has been opened, it may be kept (1) at room temperature for 1 month or (2) in the refrigerator for 3 months. Insulin is less irritating to the tissues when injected at room temperature. Insulin vials should not be put in the freezer. In addition, insulin vials should not be placed in direct sunlight or in a high-temperature area. Prefilled syringes should be stored in the refrigerator and should be used within 1 to 2 weeks. Opened insulin vials lose their strength after approximately 3 months."

"Which time frame would be most appropriate for administering sliding-scale lispro insulin? A. Within 30 minutes of consuming breakfast B. When the breakfast tray is served and ready to eat C. Within 1 hour of obtaining blood glucose measurement D. Within 15 minutes of obtaining blood glucose measurement - CORRECT ANSWER ✅ Answer: B Rationale: Lispro should be given 5 minutes before eating because the onset of action is 5 to 15 minutes." "A patient is prescribed metformin. Which is a side effect/adverse effect common to metformin? A. Seizures B. Constipation C. Bitter or metallic taste D. Polyuria and polydipsia - CORRECT ANSWER ✅ Answer: C Rationale: Metformin has a bitter or metallic taste. Seizures, constipation, polyuria, and polydipsia are not side effects/adverse effects of metformin." "A patient receives lispro insulin. The first nursing action following administration is to A. test the patient's blood glucose level. B. ensure that the patient has a meal. C. provide the patient with 4 ounces of orange juice. D. administer the next dose of insulin. - CORRECT ANSWER ✅ Answer: B Rationale: Lispro (Humalog) insulin is a rapid-acting insulin. It must not be administered more than 5 minutes before mealtime." "A patient received regular insulin at 7:30 AM. At 9:30 AM the patient feels slightly hungry and has a dull headache. The nurse A. tests the patient's blood glucose level. B. ensures that the patient has a meal. C. provides the patient with 4 ounces of orange juice. D. administers the next dose of insulin. - CORRECT ANSWER ✅ Answer: A Rationale: The peak time for regular insulin is 2 to 4 hours. It is most important for the nurse to check the patient's blood glucose level to prevent a possible hypoglycemic reaction (insulin shock)." "A nurse gives a patient NPH insulin at 8:00 AM. At 2:00 PM the nurse finds the patient extremely lethargic but conscious. The patient is diaphoretic and slightly combative. The nurse should A. call the health care provider. B. ensure that the patient has a meal. C. provide the patient with 4 ounces of orange juice. D. administer the next dose of insulin. - CORRECT ANSWER ✅ Answer: C Rationale: NPH is an intermediate-acting insulin that peaks in 6 to 12 hours. Because the patient is conscious, it is most important for the nurse to provide the orange juice to prevent a possible hypoglycemic reaction (insulin shock)."