Question

The client is being treated with Lantus insulin. At 9:00 p.m., the client's blood glucose level is found to be \(200 \mathrm{mg} / \mathrm{dL}\). If the client has an order for Lantus insulin and sliding-scale insulin, the nurse should administer the two doses of insulin: A. Together in one syringe B. Separately in two syringes C. One hour apart in two syringes D. One hour apart in one syringe

Short answer

Answer: The nurse should administer the two doses of insulin separately in two syringes.

Step-by-step solution

Understand Lantus Insulin

Lantus insulin is a long-acting insulin analog used for glycemic control. It helps regulate blood sugar levels over 24 hours, with a peakless action profile. Unlike some other insulins, Lantus should not be mixed or diluted with other insulin types or solutions.

Understand Sliding-Scale Insulin

Sliding-scale insulin is a method of adjusting short-acting insulin doses based on a client's blood glucose levels. The client receives different insulin amounts depending on their blood glucose reading, providing more personalized treatment.

Evaluate the Options

A. Together in one syringe: This is not recommended because Lantus insulin should not be mixed or diluted with other insulins. B. Separately in two syringes: This is the appropriate choice, as it will administer the two doses separately without interfering with the Lantus insulin's long-acting effects. C. One hour apart in two syringes: Unnecessary, since the insulin can be administered separately at the same time without causing any issues. D. One hour apart in one syringe: Incorrect because Lantus insulin should not be mixed or diluted with other insulins.

Select the Correct Answer

Based on the evaluation of the options, the correct answer to the question is option B. The nurse should administer the two doses of insulin separately in two syringes.