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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. "You will take medication for this condition for several months!": Hypothyroidism typically requires lifelong thyroid hormone replacement therapy, not just for several months. The client should be informed that they will need to take the medication for the long term.
B. "This condition can cause you to gain weight.": Weight gain is a common symptom of hypothyroidism due to a slowed metabolism. The nurse should include this in the teaching to help the client understand how the condition may affect their weight.
C. "We will perform laboratory tests to monitor the effect of your medication.": Regular monitoring of thyroid function tests (such as TSH and T4 levels) is essential to ensure that the medication is effective and that the dosage is appropriate.
D. "You might notice that you perspire more with this condition.": Hypothyroidism typically causes cold intolerance and reduced perspiration, not increased perspiration. This statement is incorrect and should not be included in the teaching.
E. "You will need to eat a high-fiber diet to prevent complications of this condition.": Hypothyroidism can lead to constipation due to a slowed metabolism. A high-fiber diet is recommended to help prevent constipation and promote regular bowel movements.
Correct Answer is ["B","E"]
Explanation
A. Place a tongue blade at the bedside: Inserting an object into the mouth during a seizure can lead to airway obstruction, dental injury, or harm to the client. The focus should be on ensuring the client’s safety and airway clearance without inserting any objects.
B. Dim the overhead lights: Dim lighting can help reduce external stimuli that might trigger a seizure. Bright or harsh lights can sometimes exacerbate seizures, so it’s important to create a calm environment that helps prevent further stimulation or agitation.
C. Assist the client to ambulate every 4 hr: Ambulation is not a priority during a seizure or in the immediate post-seizure period. The client’s safety should be ensured by limiting activities that could result in injury, such as walking, especially if they are at risk for more seizures.
D. Apply a warming blanket: Applying a warming blanket is not recommended, especially in the presence of meningitis, as it can increase the risk of hyperthermia. Meningitis can already cause fever, and adding heat may worsen the condition.
E. Have suction equipment at the bedside: Suction equipment should always be available for clients experiencing seizures. This ensures that any secretions or vomit can be cleared quickly to maintain a clear airway, which is essential during and after a seizure.
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