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

Administer the injection IM.

Roll the vial to mix the particulate matter within the suspension.

Draw up the insulin with a U-500 syringe.

Verify the dosage with another nurse.

Answer and Explanation

The Correct Answer is D

A. Administer the injection IM: Insulin should be administered subcutaneously, not intramuscularly, because IM injections can lead to faster absorption and increase the risk of hypoglycemia.

B. Roll the vial to mix the particulate matter within the suspension: Regular insulin is a clear solution and does not contain particulate matter, so rolling the vial is unnecessary. Only cloudy or suspension insulins, like NPH, require gentle mixing.

C. Draw up the insulin with a U-500 syringe: U-500 syringes are reserved for clients requiring very high insulin doses. Most standard doses of regular insulin are drawn using U-100 syringes, and using a U-500 syringe unnecessarily increases the risk of dosing errors.

D. Verify the dosage with another nurse: Verification by another nurse is a critical safety step, particularly for high-alert medications like insulin. It helps prevent dosing errors and ensures safe administration to the client.

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Free Nursing Study Resources

Correct Answer is ["A","C"]

Explanation

A. "Drink the elixir using a straw to prevent staining your teeth.": Using a straw helps prevent the liquid iron from coming into direct contact with the teeth, reducing the risk of permanent staining, which is a common side effect of ferrous sulfate elixir.

B. "Take the medication with an antacid if it upsets your stomach.": Antacids decrease the absorption of iron. To optimize effectiveness, ferrous sulfate should be taken on an empty stomach or with vitamin C–rich foods, rather than with antacids.

C. "Increase your fiber intake to prevent constipation.": Iron supplements commonly cause constipation. Increasing dietary fiber, fluids, and physical activity can help manage this adverse effect and maintain regular bowel function.

D. "Stop taking the medication if your stools become green or black.": Dark stools are a common, harmless side effect of iron supplementation. Clients should be reassured rather than stopping the medication.

E. "Increase your intake of dairy products to increase the absorption of this medication.": Dairy products contain calcium, which inhibits iron absorption. Iron should be taken separately from calcium-rich foods or supplements to maximize absorption.

A. Kidney transplant B. Endocarditis C. Hypokalemia D. Seizures

Correct Answer is D

Explanation

A. Kidney transplant: Phenytoin is not used to prevent organ rejection or manage transplant-related complications. Immunosuppressive therapy is indicated in kidney transplants, and phenytoin does not play a role in this context.

B. Endocarditis: Endocarditis is treated with antibiotics and sometimes surgical interventions, not antiepileptic drugs. Phenytoin does not address the bacterial infection or associated inflammation in the heart.

C. Hypokalemia: Low potassium levels are managed with potassium supplements or dietary adjustments. Phenytoin does not correct electrolyte imbalances and is not indicated for hypokalemia.

D. Seizures: Phenytoin is an antiepileptic medication used to prevent and control seizures. It stabilizes neuronal membranes and reduces the spread of seizure activity, making it appropriate for clients experiencing convulsive episodes.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

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Correct Answer is D

Explanation

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