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    HESI RN pharmacology proctored exam

    Patient Data Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse should expect for the insulin lispro to start working at dropdown and to peak at dropdown to dropdown

    Explanation & Rationale

    0845: The peak action of insulin lispro occurs about 1 to 2 hours after injection. Since it was administered at 0745, the nurse should expect a peak effect beginning around 0845, when the insulin will have its strongest blood glucose-lowering action. 0745: 0745 is the time when the insulin lispro was administered, not when it starts working. Since lispro usually takes about 15 to 30 minutes to begin acting, 0745 is too early to expect therapeutic action. 0815: Lispro insulin begins to work approximately 15 to 30 minutes after subcutaneous administration. Since it was given at 0745, the nurse should expect it to start lowering blood glucose around 0815, consistent with its pharmacologic profile. 0915: Given that insulin lispro peaks 1 to 2 hours after administration, the later part of the peak window would occur around 0915. This timing ensures the nurse monitors for potential hypoglycemia at the height of insulin activity.

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