A nurse is administering the first dose of ramipril to a client who has hypertension.
The client reports feeling dizzy and lightheaded.
Which of the following should the nurse administer?

Choice A rationale:

While a tuberculin syringe can be used for insulin administration, it’s not necessary when mixing NPH and regular insulin. Insulin syringes are typically used for this purpose.

Choice B rationale:

Injecting air into each vial before withdrawing insulin helps equalize pressure and makes it easier to draw up the insulin. This should be done before withdrawing any insulin.

Choice C rationale:

Withdrawing NPH insulin first contradicts the standard practice of drawing up insulins. The usual recommendation is to draw up short-acting (regular) insulin before intermediate-acting (NPH) insulin.

Choice D rationale:

Shaking the regular insulin vial is unnecessary and could potentially create bubbles, making it harder to draw up the correct dose of insulin.

Choice A rationale:

The first dose of the varicella vaccine is usually given when the child is between 12 to 15 months old, not after 3 years.

Choice B rationale:

Aspirin should not be given to children due to the risk of Reye’s syndrome. This syndrome is a rare but serious condition that causes swelling in the liver and brain.

Choice C rationale:

The varicella vaccine should be avoided in children who have leukemia or any other condition that weakens the immune system.

Choice D rationale:

The varicella vaccine is not contraindicated for children who are allergic to eggs. It’s some other vaccines like influenza that have this restriction.