Examl 1:l NRl 325l NR325l Latestl 2026l

Examl 1:l NRl 325/l NR325l (Latestl 2026/l

2027l Update)l Adultl Healthl IIl Guide|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain

Q:l Slidingl scalel insulin

Answer:

givel basedl onl bloodl glucosel level BG-l 0-180l =l nol insulin BGl 180-200l =l 2l units BGl 200-220l =l 4l units BGl 220-240l =l 6l units >240l =l calll physician

Q:l Storagel ofl insulin

Answer:

Dol notl heat/freeze Inl usel vialsl mayl bel leftl atl rooml templ forl upl tol 4l weeks Extral insulinl shouldl bel refrigerated Avoidl exposurel tol directl sunlight,l extremel heatl orl cold Storel prefilledl syringesl uprightl forl 1l weekl ifl 2l insulinl types;l 30l daysl forl one

Q:l Administrationl ofl insulin

Answer:

•Givenl byl subcutaneousl injection •Regularl insulinl mayl bel givenl IV •Cannotl bel takenl orallyl (inactivatedl byl gastricl juices) •Teachl notl tol injectl intramuscularlyl •Absorptionl isl fastestl froml abdomen,l followedl byl arm,l thigh,l andl buttocks 1 / 4

•Abdomenl isl oftenl preferredl site •Dol notl injectl inl sitel tol bel exercised •Rotatel injectionsl withinl andl betweenl sites •Usuallyl availablel asl U100l insulinl (1l mLl containsl 100l Ul ofl insulin)

•Syringesl markedl forl units:l variousl sizes

•Onlyl usel recapsl syringe •Nol alcoholl swabl forl self-injection;l washl withl soapl andl water •Injectl atl 45-l tol 90-degreel angle

Q:l Subcutaneousl injectionl sites

Answer:

Abdomenl isl preferred Arms,l thighs,l andl buttocks

Q:l Exogenousl insulinl (injected)

Answer:

Neededl whenl insulinl isl inadequatel tol meetl specificl metabolicl needsl •Insulinl froml anl outsidel source •Requiredl forl typel 1l diabetes •Prescribedl forl patientsl withl typel 2l diabetesl whol cannotl managel bloodl glucosel levelsl byl otherl means

Q:l Rapidl actingl insulin

Answer:

lispro,l aspart,l glulisine

-onset:l 10-30l min

-peak:l 30l min

-duration:l 3-5l hr

Q:l Shortl actingl insulin

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Answer:

Regularl (Humulinl R,l Novolinl R)

-onset:l 30l min-l 1l hr

-peak:l 2-5l hr

-duration:l 5-8l hr

Q:l Intermediatel actingl insulin

Answer:

NPH

-onset:l 1.5-4l hr

-peak:l 4-12l hr

-duration:l 12-18l hr

Q:l Longl lastingl insulin

Answer:

Glarginel Detemir Degludec

-onset:l 0.8-4l hr

-peak:l lessl definedl orl nol pronouncedl peak

-duration:l 16-24l hr

Q:l Combinationl therapyl (pre-mixedl insulin)

Answer:

NPH/regular

Q:l Inhaledl insulin

Answer:

Afrezza

-onset:l 12-15l minl 3 / 4

-peak:l 60l min

-duration:l 2.5-3l hr

Q:l Basal-bolusl regimen

Answer:

Mostl closelyl mimicsl endogenousl insulinl productionl Rapid-l orl short-actingl (bolus)l insulinl beforel meals Intermediate-l orl long-actingl (basal)l backgroundl insulinl oncel orl twicel al day

Goal:l tol achievel al glucosel levell ofl 80-130l mg/dLl beforel meals

Q:l Mealtimel insulinl (Bolus-l rapidl orl shortl acting)

Answer:

•Rapid-actingl (bolus) •Lispro,l aspart,l glulisine •Onsetl ofl actionl 15l minutes •Injectedl withinl 15l minutesl ofl mealtime •Mostl closelyl mimicl naturall insulinl secretionl inl responsel tol meals •Short-actingl (bolus) •Regularl withl onsetl ofl actionl 30l tol 60l minutes •Injectedl 30l tol 45l minutesl beforel meal •Onsetl ofl actionl 30l tol 60l minutes

Q:l Whatl typel ofl insulinl isl mostl likelyl tol causel hypoglycemia?

Answer:

Short-actingl insulinl bcl ofl al longerl durationl ofl action

Q:l Backgroundl insulinl (Basal)

Answer:

•Usedl tol managel glucosel levelsl inl betweenl mealsl andl overnight •Long-actingl (basal)

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