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:

Docusate sodium is a stool softener and does not have a direct effect on blood pressure. It is generally safe for individuals with hypertension.

Choice B rationale:

Pseudoephedrine is a decongestant that can raise blood pressure or interfere with the effectiveness of some prescribed blood pressure medications. Therefore, it is contraindicated for clients with hypertension.

Choice C rationale:

Omeprazole is a proton pump inhibitor used to decrease stomach acid. It does not have a significant impact on blood pressure and is generally safe for individuals with hypertension.

Choice D rationale:

Guaifenesin is an expectorant used to thin mucus in the air passages. It does not have a significant impact on blood pressure and is generally safe for individuals with hypertension.

A. "The first dose of this vaccine is given after the child is 3 years old.” B. "Give your child three doses of aspirin following administration of this vaccine.” C. "The vaccine should be avoided in children who have leukemia.” D. "This vaccine is contraindicated for children who are allergic to eggs.”

Correct Answer is C

Explanation

Choice A rationale:

The first dose of the varicella vaccine is usually given when the child is between 12 to 15 months old, not after 3 years.

Choice B rationale:

Aspirin should not be given to children due to the risk of Reye’s syndrome. This syndrome is a rare but serious condition that causes swelling in the liver and brain.

Choice C rationale:

The varicella vaccine should be avoided in children who have leukemia or any other condition that weakens the immune system.

Choice D rationale:

The varicella vaccine is not contraindicated for children who are allergic to eggs. It’s some other vaccines like influenza that have this restriction.

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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?

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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?