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: Separately in two syringes.

Step-by-step solution

Understand Lantus insulin and sliding-scale insulin

Lantus insulin is a long-acting basal insulin used to control blood sugar levels throughout the day. Sliding-scale insulin is a fast-acting insulin that is administered based on the patient's individual blood glucose levels to correct high blood sugar levels quickly.

Analyze administration methods for Lantus and sliding-scale insulin

Since Lantus is a long-acting insulin and sliding-scale insulin is fast-acting, they have different functions and release rates. Mixing them in the same syringe could cause the insulins to interact and either lose their effectiveness or alter their release rates.

Compare with provided multiple-choice options

Now, let's look at each of the provided options: A. Together in one syringe: This is not recommended, as mixing Lantus with another type of insulin may cause interactions or alter their effectiveness. B. Separately in two syringes: This is a suitable option because administering both insulins in separate syringes would ensure that they do not mix and that they retain their individual release rates. C. One hour apart in two syringes: While administering the two insulins in separate syringes is advisable, there is no specific reason that they need to be given one hour apart unless specified by a healthcare provider. D. One hour apart in one syringe: This is not a suitable option as it involves mixing the two insulins, which may cause interactions or alter their effectiveness. Therefore, the correct answer is option B (Separately in two syringes).