A client with diabetes is admitted to the hospital with hyperglycemia. The healthcare provider prescribes regular insulin IV. The nurse should administer the insulin using which technique?

Intramuscular injection.

Subcutaneous injection.

Intradermal injection.

Intravenous bolus injection.

Intravenous infusion pump.

Answer and Explanation

The Correct Answer is D

Choice D rationale:

The nurse should administer regular insulin IV using an intravenous bolus injection in this scenario. When a client with diabetes is admitted to the hospital with hyperglycemia and requires immediate correction of blood sugar levels, intravenous insulin bolus is the most appropriate technique. Intravenous administration allows for rapid action and precise control over insulin dosing.

Choice A rationale:

Intramuscular injection is not the recommended route for insulin administration in this situation. It is a slower route, and the absorption may not be predictable, which could delay the desired effect of lowering blood glucose levels.

Choice B rationale:

Subcutaneous injection is the standard method for most routine insulin administration in clients with diabetes. However, in the case of hyperglycemia requiring rapid correction, intravenous bolus injection is preferred for faster action.

Choice C rationale:

Intradermal injection is not appropriate for insulin administration. This route is typically used for skin testing or allergen sensitivity assessments, not for delivering insulin.

Choice E rationale:

While an intravenous infusion pump can be used for insulin administration in some situations, it is not the best choice for rapidly correcting hyperglycemia. Intravenous bolus injection provides a more immediate and precise response. Infusion pumps are more commonly used for continuous insulin infusions, such as in critical care settings.

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Correct Answer is B

Explanation

Choice B rationale:

The nurse should prioritize monitoring the client's blood glucose levels before administering insulin. It is essential to know the client's current blood sugar level to determine the appropriate dose of insulin to administer safely. Giving insulin without knowing the current blood glucose level can lead to hypoglycemia or hyperglycemia, both of which can be dangerous for the client.

Choice A rationale:

Assessing the client's blood pressure is important but not the priority before administering insulin. High or low blood pressure can be a concern in clients with diabetes, but checking blood glucose levels takes precedence when preparing to administer insulin.

Choice C rationale:

Asking the client about any allergies is a good practice before administering any medication, but it is not the priority in this situation. The immediate concern is to address the hyperglycemia with insulin while ensuring the client's safety.

Choice D rationale:

Checking the client's oxygen saturation is not directly related to insulin administration for diabetes. It may be relevant in certain medical conditions or emergencies, but it is not a priority action before giving insulin.

A. Administer diuretics to reduce the fluid accumulation. B. Prepare for needle decompression or chest tube insertion. C. Position the client in a Trendelenburg position to facilitate breathing. D. Instruct the client to take slow, deep breaths to prevent further complications.

Correct Answer is B

Explanation

Choice A rationale:

Administering diuretics to reduce fluid accumulation is incorrect. Severe dyspnea, absent breath sounds, and jugular venous distension indicate a potential tension pneumothorax or hemothorax, which requires prompt action, and diuretics would not address the underlying issue.

Choice B rationale:

Preparing for needle decompression or chest tube insertion is the appropriate nursing action. The client's symptoms of severe dyspnea, absent breath sounds, jugular venous distension, and increased intrathoracic pressure suggest a possible tension pneumothorax or hemothorax. Immediate decompression with a large-bore needle or insertion of a chest tube is necessary to relieve pressure and restore lung function.

Choice C rationale:

Positioning the client in a Trendelenburg position to facilitate breathing is incorrect. In the case of increased intrathoracic pressure, this position can further compromise respiratory function and is not recommended.

Choice D rationale:

Instructing the client to take slow, deep breaths to prevent further complications is incorrect. The client's condition requires urgent medical intervention, and slow, deep breaths would not address the acute issue of increased intrathoracic pressure and compromised lung function.

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A client with diabetes is admitted to the hospital with hyperglycemia. The healthcare provider prescribes regular insulin IV. The nurse should administer the insulin using which technique?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer insulin to a client with diabetes. Before administering the insulin, the nurse should prioritize which action?

Correct Answer is B

Explanation

A client with a chest tube reports severe dyspnea, absent breath sounds on the affected side, and jugular venous distension. The nurse assesses increased intrathoracic pressure. What is the appropriate nursing action?

Correct Answer is B

Explanation

A client with diabetes is admitted to the hospital with hyperglycemia. The healthcare provider prescribes regular insulin IV. The nurse should administer the insulin using which technique?

A nurse is educating a patient and their family about chest tube care. What instructions should the nurse include?

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A nurse is preparing a patient for chest tube insertion. Which of the following nursing actions should the nurse take during the preparation process?

A nurse is providing education to a client with diabetes on foot care. The nurse should include which statement to promote foot health?

A client with diabetes is experiencing frequent episodes of hypoglycemia. The nurse should recommend which of the following strategies to prevent hypoglycemic episodes?

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