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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Topical applies to skin or mucous surfaces broadly; gum/jaw placement is specific to buccal, not the general external or mucosal topical category.
Choice B reason: Oral means swallowed; buccal drugs stay in the mouth for absorption, avoiding the digestive tract, making this an incorrect route classification.
Choice C reason: Buccal involves placement between gum and cheek; it allows direct mucosal absorption into the bloodstream, bypassing first-pass metabolism effectively.
Choice D reason: Sublingual is under the tongue; gum/jaw specifies buccal, as sublingual targets a different oral site with distinct absorption dynamics.
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.
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