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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Black, tarry stools are not an expected effect of subcutaneous heparin; this symptom should be reported to a healthcare provider.
B. Using a soft bristle toothbrush is recommended to minimize the risk of bleeding gums, which can occur due to heparin's anticoagulant effects.
C. Subcutaneous heparin should be injected into the fatty tissue of the abdomen or thigh, not deep into the muscle.
D. Easy bruising is a potential side effect of heparin but does not indicate effectiveness; it should be monitored and reported if excessive.

A. "I will use lotion on the irritated skin before applying a new patch in that area." B. "I will clean and dry the area before applying the patch." C. "I will press the patch securely in place on my forearm." D. "I will remove the old patch and apply a new one in the same location.

Correct Answer is B

Explanation

A. Using lotion on irritated skin before applying a new patch may interfere with adhesion and absorption of the medication, indicating a misunderstanding of proper patch application.
B. Cleaning and drying the area before applying a transdermal patch ensures proper adhesion and absorption of medication, demonstrating correct understanding of patch application technique.
C. Pressing the patch securely in place is important, but it does not address the initial preparation of the skin, which is crucial for effective medication delivery.
D. Applying a new patch in the same location without cleaning the area may lead to skin irritation or uneven absorption of medication, indicating improper understanding of patch application.

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A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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