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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?

A.

Keep insulins stored in the refrigerator

B.

Inject air into the regular insulin first.

C.

Aspirate NPH insulin first.

D.

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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Related Questions

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

  • Administer an iron supplement: The client has lab findings and symptoms consistent with iron deficiency anemia, including low hemoglobin (8 g/dL), low hematocrit (24%), and low ferritin (8 ng/mL). An iron supplement is essential to correct the deficiency and restore adequate oxygen-carrying capacity in the blood.
  • Restrict fluid intake: There is no evidence of fluid overload, hyponatremia, or heart failure in this client. Fluid restriction may worsen orthostatic hypotension by reducing circulating volume and is inappropriate in anemia and tachycardia.
  • Place the client on a low sodium diet: The client’s blood pressure is within normal limits and there are no signs of hypertension or fluid retention. A low sodium diet may be beneficial in some chronic diseases, but it is not relevant or essential to this client’s current issues.
  • Refer for a nutritional consult: The client follows a vegan diet and has both iron and borderline low vitamin B12 levels. A referral to a nutritionist will help ensure they are educated on how to meet their micronutrient needs, including iron and B12, through appropriate dietary sources and supplementation.

Correct Answer is C

Explanation

A. Ensure the door to the client's room remains open: The door should be kept closed to minimize exposure to radiation. Keeping the door open increases the risk of radiation exposure to others in the area.

B. Wear sterile gloves during patient care: Sterile gloves are not required for care during internal radiation therapy unless there is direct contact with bodily fluids or radioactive materials. Standard precautions are sufficient.

C. Wear a lead apron when providing client care: A lead apron is recommended for healthcare workers to protect themselves from radiation exposure during internal radiation therapy. The lead apron absorbs radiation and helps reduce the risk of harmful exposure.

D. Place a dosimeter on the client's gown: The dosimeter is typically worn by healthcare workers to measure radiation exposure, not the client. The client would not wear a dosimeter in this situation.

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