A nurse is planning to administer insulin to a client who has type 1 diabetes mellitus, what action should the nurse perform first?

Administer the client's insulin dose using a tuberculin syringe.

Use a filter needle when withdrawing medication from the multidose vial.

Verify the dose of insulin with another nurse once it is prepared.

Mix the client's long-acting and rapid-acting insulin dose in one syringe.

Answer and Explanation

The Correct Answer is C

A. Administer the client's insulin dose using a tuberculin syringe:

While using an appropriate syringe for insulin administration is important, ensuring the accuracy of the dosage precedes the actual administration. Therefore, verifying the dose takes precedence over selecting the syringe.

B. Use a filter needle when withdrawing medication from the multidose vial:

While using a filter needle can be beneficial to prevent contamination, ensuring the correct dosage is more critical in preventing adverse effects associated with incorrect insulin administration.

C. Verify the dose of insulin with another nurse once it is prepared.

Before administering insulin to a client with type 1 diabetes, it is essential to ensure accuracy in dosage. Verifying the dose with another nurse helps minimize the risk of errors, ensuring the client receives the correct amount of insulin. This step aligns with the principle of double-checking medications for safety, especially in critical situations like insulin administration.

D. Mix the client's long-acting and rapid-acting insulin dose in one syringe:

Mixing different types of insulin in one syringe is not standard practice unless specifically instructed by a healthcare provider. This step should be performed only if explicitly ordered an

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Correct Answer is A

Explanation

A. Client care provider

In this scenario, the nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client to ensure client safety. By directly overseeing the procedure and providing guidance, feedback, and support, the nurse manager is assuming the role of a client care provider. This role involves ensuring that nursing care is delivered effectively and safely, especially when orienting or supervising new staff members.

B. Client educator:

While client education is important in nursing practice, the nurse manager's primary role in this scenario is not to educate the client but rather to observe and supervise the newly licensed nurse performing a procedure.

C. Client advocate:

Although advocating for client safety is a fundamental aspect of nursing practice, in this specific scenario, the nurse manager is more directly involved in overseeing the procedural skill of the newly licensed nurse rather than advocating for the client's rights or needs.

D. Case manager:

A case manager typically coordinates and manages the overall care of clients, including planning and arranging services. However, in this scenario, the nurse manager's role is focused on directly observing and supervising a specific nursing procedure rather than coordinating broader aspects of the client's care.

A. "I will move your joints to the point of mild pain." B. "I will repeat these movements 3 to 5 times." C. "I will move your joints quickly." D. "These movements will be performed once per day."

Correct Answer is B

Explanation

A. "I will move your joints to the point of mild pain." - This statement is incorrect. Passive ROM exercises should not be performed to the point of causing pain. Pain during passive ROM exercises can indicate that the movement is too forceful or beyond the client's range of motion, which can lead to injury or discomfort.

B. "I will repeat these movements 3 to 5 times." - This statement is generally correct. Passive ROM exercises are typically repeated several times during each session to help maintain joint mobility and prevent contractures. The specific number of repetitions can vary based on the client's needs and tolerance.

C. "I will move your joints quickly." - This statement is incorrect. Passive ROM exercises should be performed slowly and gently to avoid causing discomfort or injury to the client. Slow movements allow for better control and precision, ensuring that the joints are moved through their full range of motion without undue force.

D. "These movements will be performed once per day." - This statement is incorrect. Passive ROM exercises are usually performed multiple times throughout the day, especially for clients with decreased mobility. Regular and frequent sessions help prevent stiffness, maintain flexibility, and promote circulation in the joints.

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A nurse is planning to administer insulin to a client who has type 1 diabetes mellitus, what action should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client, in which of the following roles is the nurse manager functioning?

Correct Answer is A

Explanation

A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?

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