A nurse is administering a dose of insulin to a patient. To practice nursing safely and effectively, the nurse should:

Give the drug before a meal.

Confirm with the patient the site of the last injection.

Inject the insulin in the deltoid muscle.

Have another licensed nurse double-check the dose.

Answer and Explanation

The Correct Answer is D

Choice A reason: Administering insulin at proper timing correlates with mealtimes. However, this alone doesn't ensure safe practice.

Choice B reason: Confirming the injection site prevents lipodystrophy but does not address dose accuracy, which is vital for safety.

Choice C reason: Insulin is injected subcutaneously, not in the deltoid muscle. Using incorrect sites disrupts absorption.

Choice D reason: Double-checking insulin dose prevents administration errors, ensuring compliance with medication safety protocols.

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Correct Answer is B

Explanation

Choice A reason: Lisinopril is the generic name; trade names are branded, and this doesn’t fit the question’s focus on the manufacturer’s marketed title.

Choice B reason: Zestril is the trade name for lisinopril; it’s trademarked by the manufacturer, aligning with the question’s request for the branded medication name.

Choice C reason: Acetaminophen is a generic, not a trade name here; it’s unrelated to Zestril’s class (ACE inhibitor), making it an incorrect option.

Choice D reason: Morphine is a generic opioid; it doesn’t match Zestril’s antihypertensive role or trade name status, ruling it out entirely.

A. A patient who has just undergone bone marrow transplantation B. An elderly patient with Clostridium difficile diarrhea C. A young patient with an acute asthma exacerbation and dyspnea D. A forgetful, irritable patient with a history of Alzheimer's disease

Correct Answer is D

Explanation

Choice A reason: Bone marrow transplant patients are immunocompromised; animals pose infection risks (e.g., zoonotic bacteria), making therapy contraindicated in this sterile setting.

Choice B reason: C. difficile is contagious; animal-assisted therapy risks cross-contamination via fur or handlers, endangering the patient and facility, ruling out this option.

Choice C reason: Acute asthma with dyspnea may worsen with animal dander triggering allergies or bronchospasm; therapy could exacerbate respiratory distress, making it unsuitable.

Choice D reason: Alzheimer’s patients benefit from animal therapy; it reduces agitation and boosts mood via oxytocin release, with no acute infection or allergy barriers.

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A nurse is administering a dose of insulin to a patient. To practice nursing safely and effectively, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Using the label, what is the trade name of the medication? (No label provided; assuming Zestril from prior context.)

Correct Answer is B

Explanation

Which patient would be a candidate for animal-assisted therapy?

Correct Answer is D

Explanation

The nurse caring for a patient without any religious affiliation who was admitted 2 days ago with a severe gastrointestinal infection encounters the hospital chaplain who wants to pray with the patient. The most appropriate response by the nurse is:

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When preparing to administer an intradermal injection to an adult, the nurse ensures that the dose amount does not exceed 0.1 mL. A 1 mL tuberculin syringe is used with a 25-gauge needle and is administered at which angle?

Which is the priority action of the nurse immediately after administration of an intramuscular injection?