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 D

Explanation

Choice A reason: Positioning the tablet next to the cheek alters absorption and delays onset. Sublingual placement ensures rapid effect.

Choice B reason: Swallowing bypasses sublingual absorption, reducing efficacy. The route is critical for desired therapeutic outcomes.

Choice C reason: Crushing and dissolving disrupts integrity, compromising rapid sublingual absorption. Proper administration maintains efficacy.

Choice D reason: Sublingual placement allows rapid dissolution and absorption via mucous membranes, ensuring swift therapeutic action.

A. Document the error on the client's medical record and notify the supervisor. B. Check the client's MAR for drug allergies, and if there is no indicated allergy to the drug administered in error, no further action is necessary. C. Call the health care provider immediately and complete an incident report. D. Administer the original drug and observe the client frequently for adverse reactions to the first drug.

Correct Answer is C

Explanation

Choice A reason: While documentation and supervisor notification are crucial, immediate action involving the health care provider ensures timely response to potential adverse effects from the medication error.

Choice B reason: Relying solely on the absence of drug allergies is insufficient and may jeopardize patient safety. Errors require immediate communication and reporting for appropriate interventions.

Choice C reason: Timely provider notification prioritizes patient safety and enables corrective measures. Completing an incident report supports institutional transparency and learning to prevent future errors.

Choice D reason: Administering additional drugs risks compounding harm. The priority is addressing the initial error and ensuring patient safety without introducing further interventions.

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