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A nurse is mixing NPH insulin and regular insulin prior to administration. Which of the following actions should the nurse take first?

Inject air into the vial with regular insulin in it.

Draw up the NPH insulin dose.

Inject air into the vial with NPH insulin in it.

Draw up the regular insulin dose.

Answer and Explanation

The Correct Answer is C

Answer: C

Rationale:

A) Inject air into the vial with regular insulin in it:

Injecting air into the vial of regular insulin is part of the correct procedure but not the initial step. This action is typically performed after the NPH insulin vial has been handled, as part of the process to prevent contamination and maintain the correct insulin types.

B) Draw up the NPH insulin dose:

Drawing up the NPH insulin dose should follow the initial steps of air injection. It is important to manage the insulin types in the correct sequence to ensure that the regular insulin remains uncontaminated by the NPH insulin.

C) Inject air into the vial with NPH insulin in it:

Injecting air into the NPH insulin vial first helps to equalize the pressure and avoid contamination when drawing up the insulin. This step is crucial to ensure that the NPH insulin is not inadvertently mixed with the regular insulin, maintaining the integrity of each type.

D) Draw up the regular insulin dose:

Drawing up the regular insulin dose should occur after air has been injected into both vials. This ensures that the NPH insulin is not drawn into the regular insulin syringe, which could affect the medication's efficacy.

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Correct Answer is D

Explanation

A. “Insomnia”: While insomnia can be a side effect of many medications, it is not typically associated with carbamazepine. Carbamazepine, an anticonvulsant, is used to control seizures and does not commonly cause insomnia.

B. “Tachypnea”: Tachypnea, or rapid breathing, is not a common side effect of carbamazepine. Carbamazepine does not typically affect the respiratory system in this way.

C. “Metallic taste”: A metallic taste is not a common side effect of carbamazepine. This side effect is more commonly associated with certain antibiotics or antifungal medications.

D. “Blurred vision”: This is the correct answer. Blurred vision is a known side effect of carbamazepine. If a client experiences this side effect, they should notify their healthcare provider as it may indicate a need for dosage adjustment or a change in medication. It’s important for clients to be aware of this potential side effect so they can monitor for it and seek medical attention if it occurs.

A. Document the updated list and send it to the pharmacy. B. Compile a list of all medications the client is currently taking C. Compare preadmission medications to current medications. D. Address any discrepancies between current medications and new prescriptions.

Correct Answer is B

Explanation

A. “Document the updated list and send it to the pharmacy”: While this is an important step in the medication reconciliation process, it is not the first step. The nurse must first have a complete and accurate list of all the medications the client is currently taking.

B. “Compile a list of all medications the client is currently taking”: This is the first step in the medication reconciliation process. The nurse needs to know all the medications the client is currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and any other substances. This list should include the name of each medication, the dose, the frequency, and the route of administration.

C. “Compare preadmission medications to current medications”: This is an important step in the medication reconciliation process, but it cannot be done until after the nurse has compiled a list of all medications the client is currently taking.

D. “Address any discrepancies between current medications and new prescriptions”: Addressing discrepancies is a crucial part of the medication reconciliation process, but it is not the first step. The nurse must first compile a list of all medications the client is currently taking, then compare this list to the client’s preadmission medications and any new prescriptions.

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A nurse is mixing NPH insulin and regular insulin prior to administration. Which of the following actions should the nurse take first?

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