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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Ketorolac is a non-steroidal anti-inflammatory drug (NSAID) used for pain relief after surgery. However, it’s not typically administered every 3 hours. Overuse can lead to serious side effects.

Choice B rationale:

If the client’s pain level remains high after receiving ketorolac, administering an opioid medication like oxycodone may be appropriate.

Choice C rationale:

While acetaminophen can be used for pain relief, rectal administration is not typically the first choice for postoperative pain management.

Choice D rationale:

It’s inappropriate to label a patient as exhibiting drug-seeking behaviors simply because their reported pain level remains high after medication. Pain is subjective and should be addressed appropriately.

A. "I will inform your provider so she can prescribe a different medication.” B. "You will need to take this medication on an empty stomach for it to be more effective.” C. "You will need to wait a couple of weeks to feel the therapeutic effect of the medication.” D. "I will ask your provider to increase the dose of the medication.”

Correct Answer is C

Explanation

Choice A rationale:

While it’s important for the provider to be informed if the medication isn’t working, it’s premature to change the medication after only 6 days.

Choice B rationale:

Amitriptyline does not need to be taken on an empty stomach to be effective.

Choice C rationale:

Amitriptyline, a tricyclic antidepressant, often takes several weeks before a therapeutic effect is felt.

Choice D rationale:

Increasing the dose prematurely can lead to unnecessary side effects. It’s better to wait for the medication to take effect.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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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?