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An IDDM client’s condition stabilizes. He begins to receive a daily injection of NPH insulin at 6:30 AM. The nurse can most likely expect a hypoglycemic reaction to occur that same day at:
A. 8:30 AM10:30 AM
B. 2:30 PM4:30 PM
C. 7:30 PM9:30 PM
D. 10:30 PM11:30 PM
Correct Answer: B
Explanation/Reference:
Explanation:
(A) This time describes the time of onset of NPH insulin’s action, rather than its peak effect. (B) NPH insulin, an intermediateacting insulin, usually begins to lower serum glucose levels about 2 hours after administration. The action of NPH insulin peaks 814 hours after administration. It has a 2030 hour duration. (C) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM. (D) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM.
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