A nurse is preparing to administer regular and NPH insulin to a client. Which of the following actions should the nurse take?
Mix the medications in a 3-mL syringe.
Inject air into the regular vial first.
Administer the medications in two separate syringes.
Withdraw the NPH insulin last.
The Correct Answer is D
D. Drawing the NPH last ensures that it does not contaminate the short acting insulin. The regular insulin should be drawn first.
A. Regular and NPH insulin should not be mixed together in a single syringe prior to administration. Mixing them could alter their action profiles and affect their effectiveness.
B. While injecting air into the vial before withdrawing medication helps prevent negative pressure and facilitates easy withdrawal of the medication, it should be done for each vial individually, not specifically for the regular insulin vial.
C. The medication should be drawn up into the same syringe before administration to the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Celecoxib is contraindicated in individuals with a history of hypersensitivity reactions, including anaphylaxis, angioedema, or urticaria, to sulfonamides. Sulfonamide antibiotics are structurally related to sulfonamide nonantibiotics, including celecoxib, and cross-sensitivity reactions may occur in some individuals.
B. Penicillin allergy is not a contraindication for celecoxib. There is no cross-reactivity between penicillin antibiotics and celecoxib, as they are different classes of medications.
C. Concurrent use of chondroitin is not a contraindication for celecoxib. Chondroitin is a dietary supplement commonly used for joint health, and there are no known interactions or contraindications between chondroitin and celecoxib.
D. Concurrent use of calcium supplements is not a contraindication for celecoxib. There are no known interactions between calcium supplements and celecoxib, and they can be safely used together if indicated.
Correct Answer is B
Explanation
B. The correct angle for insulin injections is typically 90 degrees when administering into areas with adequate subcutaneous tissue, such as the abdomen or thigh.
A. Insulin injections should not be administered rapidly, as this can cause discomfort or bruising at the injection site. Additionally, a 20-gauge needle is too large for insulin injections, which typically require smaller gauge needles.
C. Insulin injections are typically administered using insulin syringes, not tuberculin syringes. Additionally, the recommended angle for insulin injections is 90 degrees, not 15 degrees.
D. The Z-track method is a technique used to minimize medication leakage or staining of the skin when administering certain medications, particularly those with irritating properties or medications given intramuscularly.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today