A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes. Identify the steps the nurse should take when preparing the two insulins. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Inject 10 units of air into the regular insulin vial.
Inject 20 units of air into the NPH insulin vial.
Withdraw 10 units of air from the regular insulin vial.
Withdraw 20 units of air from the NPH insulin vial.
The Correct Answer is B, A, C, D
B. Inject 20 units of air into the NPH insulin vial. Injecting air into the NPH vial first helps equalize the pressure. A. Inject 10 units of air into the regular insulin vial. This prepares the regular insulin vial for withdrawal without creating a vacuum. C. Withdraw 10 units of regular insulin. After injecting air into the regular insulin vial, withdraw the regular insulin first to avoid contaminating it with the NPH insulin. D. Withdraw 20 units of NPH insulin. Finally, withdraw the NPH insulin after the regular insulin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dry mucous membranes:
Explanation: Dry mucous membranes are not typically associated with hypoglycemia. Instead, they might be seen in conditions such as dehydration.
B. Fruity breath odor:
Explanation: Fruity breath odor is more commonly associated with diabetic ketoacidosis (DKA), which is a complication of hyperglycemia, not hypoglycemia.
C. Diaphoresis:
Explanation: Diaphoresis, or excessive sweating, is a common manifestation of hypoglycemia. It results from the activation of the sympathetic nervous system in response to low blood sugar levels.
D. Polyuria:
Explanation: Polyuria, or increased urination, is not a typical manifestation of hypoglycemia. It is more commonly associated with hyperglycemia and diabetes.
Correct Answer is A
Explanation
A. Proteinuria:
Minimal change nephrotic syndrome is characterized by increased permeability of the glomerular filtration barrier, leading to proteinuria. The loss of proteins, especially albumin, in the urine is a key feature.
B. Hypocalcemia:
Hypocalcemia is not typically associated with MCNS. In fact, the loss of proteins, including albumin, in the urine can lead to decreased oncotic pressure in the blood vessels, resulting in edema. However, calcium levels are usually within the normal range.
C. Hyperalbuminemia:
This is not a characteristic finding in minimal change nephrotic syndrome. In fact, the condition is associated with hypoalbuminemia due to the loss of albumin in the urine.
D. Positive for Ketones:
Ketones are not typically associated with minimal change nephrotic syndrome. Ketones in the urine are more commonly associated with conditions like diabetic ketoacidosis or starvation.
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