A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take?
Aspirate the injection after inserting the needle.
Inject the insulin 2.5 cm (1 in) from the client's naval.
Administer the insulin into a muscle.
Gently roll the insulin vial to mix.
The Correct Answer is D
A. Aspiration is not necessary for subcutaneous insulin injections and is not recommended as it may cause unnecessary trauma.
B. Insulin injections should be administered subcutaneously, typically in the abdomen, but not specifically 2.5 cm from the navel.
C. Insulin injections are not administered into muscle but into the subcutaneous tissue.
D. NPH insulin should be gently rolled between the palms to mix evenly before administration to ensure the suspension is well-mixed.
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Related Questions
Correct Answer is C
Explanation
A. Filling out an incident report is necessary but should not be the first action after administering the wrong medication.
B. Notifying the charge nurse is important, but assessing the client's immediate condition takes priority.
C. Checking the client's vital signs is the first action to assess for any adverse effects from the wrong medication and determine the next steps in care.
D. Documenting the client's condition is important but should occur after assessing the client's vital signs and addressing immediate needs.
Correct Answer is B
Explanation
A. Asking the client to demonstrate checking their blood sugar is an important step in diabetes education but should occur after assessing the client's readiness to learn.
B. Determining the client's readiness to learn is the first step in effective teaching to ensure that the client is receptive to receiving information and can actively engage in the learning process.
C. Identifying short-term goals for the client is important for planning education but should follow an assessment of readiness to learn.
D. Providing written educational material is beneficial but should be tailored to the client's readiness and understanding, which are determined first.
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