A nurse is reinforcing teaching about the use of an insulin aspart 70/30 pen with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

"I will hold the pen upside-down to select the appropriate dose."

"I will apply a disposable needle on the cartridge."

"I will aspirate before injecting the insulin."

"I will shake the pen before injecting the insulin."

Answer and Explanation

The Correct Answer is B

A. "I will hold the pen upside-down to select the appropriate dose.": Insulin pens are designed to be held upright with the needle pointing upward when selecting the dose. Holding it upside-down can cause air bubbles to enter the cartridge and result in inaccurate dosing. Correct technique ensures the client receives the intended insulin amount.

B. "I will apply a disposable needle on the cartridge.": Attaching a new disposable needle for each injection is essential to maintain sterility, prevent infection, and ensure accurate dosing. This practice also prevents needle damage and reduces the risk of insulin leakage during administration.

C. "I will aspirate before injecting the insulin.": Aspiration is unnecessary with subcutaneous insulin injections and can cause tissue trauma or discomfort. Current guidelines advise inserting the needle directly into subcutaneous tissue without pulling back to check for blood.

D. "I will shake the pen before injecting the insulin.": Shaking insulin aspart 70/30 can create air bubbles and compromise the insulin mixture. Instead, gently rolling the pen between the palms ensures proper mixing without introducing bubbles, preserving insulin effectiveness.

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Correct Answer is D,A,B,C,E

Explanation

A. Remove the dressing and tape from the venipuncture site: The dressing and tape are removed after the IV tubing is clamped to prevent fluid leakage. This step exposes the catheter for safe removal while maintaining sterility.

B. Clamp the IV tubing: Clamping the tubing stops the flow of IV fluids and prevents backflow or bleeding from the catheter. This ensures safety before manipulating the catheter.

C. Withdraw the catheter from the client's vein: The catheter is gently removed after the site is exposed and the tubing is clamped. Smooth withdrawal minimizes trauma and reduces the risk of bleeding or venous injury.

D. Perform hand hygiene: Hand hygiene should be done before any procedure to reduce the risk of introducing infection. It ensures aseptic technique is maintained throughout the IV discontinuation process.

E. Apply pressure to the venipuncture site with sterile gauze: Immediate pressure is applied after catheter removal to prevent bleeding and promote clot formation. The site is held until hemostasis is achieved and then dressed appropriately.

A. Instruct the client to remain flat in bed for 4 to 6 hr after the procedure. B. Set up the equipment using clean technique. C. Prepare the client for a chest x-ray following the procedure. D. Insert an indwelling urinary catheter and record the client's output.

Correct Answer is C

Explanation

A. Instruct the client to remain flat in bed for 4 to 6 hr after the procedure: Clients are usually positioned sitting upright or leaning forward during thoracentesis, and remaining flat for several hours afterward is not required. Proper positioning after the procedure is typically for comfort and monitoring, not strict bed rest.

B. Set up the equipment using clean technique: Thoracentesis is an invasive procedure that requires strict aseptic technique, not just clean technique, to prevent infection and contamination of the pleural space. Using only clean technique would increase the risk of complications.

C. Prepare the client for a chest x-ray following the procedure: A post-procedure chest x-ray is recommended to check for complications such as pneumothorax or lung collapse. This imaging ensures that any adverse effects are identified promptly and managed appropriately.

D. Insert an indwelling urinary catheter and record the client's output: Inserting a urinary catheter is not part of standard thoracentesis care unless the client has unrelated urinary needs. It does not contribute to the safety or effectiveness of the thoracentesis procedure.

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A nurse is reinforcing teaching about the use of an insulin aspart 70/30 pen with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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