A nurse is reinforcing teaching with a client who is to start therapy with insulin lispro and insulin glargine.
Which of the following should the nurse include in the teaching?
Mix the insulins in the same syringe.
Give insulin glargine twice a day.
Shake the insulin vials to disperse particles.
Take insulin lispro right before a meal.
The Correct Answer is D
Choice A rationale:
Mixing insulin lispro and insulin glargine in the same syringe is not recommended. Insulin glargine has a different pH and mixing it with other insulins could affect its action.
Choice B rationale:
Insulin glargine is a long-acting insulin that is typically given once a day. It provides a steady level of insulin over a 24-hour period.
Choice C rationale:
Shaking insulin vials is not recommended as it can lead to inaccurate dosing. Instead, insulin vials should be gently rolled between the hands to ensure proper mixing.
Choice D rationale:
Insulin lispro is a rapid-acting insulin and should be taken right before a meal. This helps to control the blood glucose spike that occurs after eating.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Dry mouth is a common side effect of diphenhydramine. Diphenhydramine is an antihistamine that is often used to treat allergies, insomnia, and symptoms of the common cold. It works by blocking the effects of histamine, a substance in the body that causes allergy symptoms. One of the effects of histamine is increased salivation, so when diphenhydramine blocks this effect, it can lead to dry mouth.
Choice B rationale:
Nausea is also a common side effect of diphenhydramine. This can occur because diphenhydramine can slow down the emptying of the stomach, leading to feelings of nausea. Additionally, diphenhydramine can affect the vestibular system in the inner ear, which can also lead to feelings of nausea.
Choice C rationale:
Agitation is considered an idiosyncratic reaction to diphenhydramine. An idiosyncratic reaction is an unusual or unexpected reaction to a drug that is not related to the usual pharmacological action of the drug. While diphenhydramine is typically used for its sedative effects, in some cases it can cause paradoxical central nervous system stimulation, leading to agitation.
Choice D rationale:
Dizziness is another common side effect of diphenhydramine. This occurs because diphenhydramine can affect the vestibular system in the inner ear, which plays a key role in maintaining balance. When this system is affected, it can lead to feelings of dizziness.
Correct Answer is A
Explanation
Choice A rationale:
Levalbuterol is a bronchodilator that relaxes muscles in the airways and increases air flow to the lungs. Therefore, a decrease in wheezing is a therapeutic effect of the medication, making this the correct choice.
Choice B rationale:
While levalbuterol can cause an increase in respiratory rate as a side effect, it is not considered a therapeutic effect of the medication. The primary goal of levalbuterol is to improve breathing by relaxing the muscles of the airways, not to increase respiratory rate.
Choice C rationale:
Levalbuterol does not directly affect nausea. It is primarily used to treat conditions related to breathing such as asthma and chronic obstructive pulmonary disease.
Choice D rationale:
An increased heart rate is a potential side effect of levalbuterol, not a therapeutic effect.
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