A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe.
Which of the following instructions should the nurse provide?
Inject air into the regular insulin first.
Shake the NPH insulin until it is well mixed.
Draw up the NPH insulin into the syringe first.
Discard regular insulin if it appears cloudy.
The Correct Answer is A
“Inject air into the regular insulin first.” When mixing regular insulin and NPH insulin in the same syringe, the nurse should instruct the client to inject air into the NPH insulin vial first, then inject air into the regular insulin vial.
After that, the client should draw up the regular insulin into the syringe first, followed by the NPH insulin.
Choice B is not correct because NPH insulin should not be shaken vigorously as it can damage the insulin molecules.
Choice C is not correct because the regular insulin should be drawn up into the syringe first.
Choice D is not correct because regular insulin is a clear solution and should not appear cloudy.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Hypothyroidism can cause a slowed heart rate, also called bradycardia1.

Choice B, Moist skin, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.
Choice C, Blurred vision, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.
Choice D, Insomnia, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.
Correct Answer is D
Explanation
Heparin is an anticoagulant that is used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels 1.
However, heparin will not dissolve blood clots that have already formed, but it may prevent the clots from becoming larger and causing more serious problems 12.

Choices A, B, and C are incorrect because heparin does not dissolve existing clots. Instead, it works to prevent new clots from forming 12.
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