A nurse is preparing to administer 30 units of NPH and 10 units of regular insulin to a client. Which of the following actions should the nurse take?

Keep insulins stored in the refrigerator

Inject air into the regular insulin first.

Aspirate NPH insulin first.

Roll the cloudy insulin between the hands several times.

Answer and Explanation

The Correct Answer is D

A. Keep insulins stored in the refrigerator: Insulin should be stored in the refrigerator until it is opened. However, once it is open, it can be stored at room temperature for up to 28 days, depending on the manufacturer’s recommendations. It does not require refrigeration for daily use.

B. Inject air into the regular insulin first: When mixing insulins, the nurse should inject air into the NPH insulin (cloudy) first, not the regular insulin (clear). This prevents contamination of the regular insulin vial with the NPH insulin.

C. Aspirate NPH insulin first: After injecting the correct amount of air into the vial, the nurse should draw up the clear insulin (regular) first, followed by the cloudy insulin (NPH) to prevent contamination.

D. Roll the cloudy insulin between the hands several times: NPH insulin is cloudy and needs to be gently rolled between the hands to mix the insulin properly. Shaking the vial can cause air bubbles or break down the insulin.

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Correct Answer is C

Explanation

A. "I had symptoms of asthma when I was a child.": Childhood asthma is not a significant concern in end-stage liver disease or transplant eligibility. It does not have a direct impact on the client’s current health status or the potential success of the liver transplant.

B. "My parent has type 2 diabetes mellitus.": While family medical history is relevant, having a parent with type 2 diabetes mellitus is not a contraindication for liver transplantation. The client’s own health status and adherence to medical care are more important.

C. "I am not very good about taking prescribed medication.": Post-transplant care requires strict adherence to medications, especially immunosuppressive drugs, to prevent organ rejection. If the client has a history of nonadherence, this can jeopardize the success of the transplant.

D. "I wish my family was more supportive of my decision.": This statement pertains to psychosocial concerns and can be addressed with counseling or support services. It does not pose an immediate medical concern for the transplant process.

A. Nosebleed B. Malaise C. Headache D. Elevated temperature

Correct Answer is C

Explanation

A. Nosebleed: A nosebleed is not typically associated with dialysis disequilibrium. It may be related to other factors like dry air or blood pressure changes, but it is not a classic symptom of dialysis disequilibrium.

B. Malaise: Malaise can occur after hemodialysis due to various reasons, such as fluid shifts, but it is not a specific indicator of dialysis disequilibrium.

C. Headache: Headache is a common symptom of dialysis disequilibrium, which occurs due to rapid changes in fluid and electrolyte balance during hemodialysis. This can lead to cerebral edema, which manifests as a headache.

D. Elevated temperature: An elevated temperature is not a typical sign of dialysis disequilibrium. It could indicate an infection or other issues related to dialysis, but it is not directly related to disequilibrium.

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A nurse is preparing to administer 30 units of NPH and 10 units of regular insulin to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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