A nurse is reinforcing teaching with a client who was diagnosed with diabetes mellitus and requires insulin injections. Which of the following client statements indicates an understanding of the teaching?
"I should dispose of my used syringes in the household trash."
"I will store my current bottle of insulin in the refrigerator."
“I will hold the needle at a 15° angle to my skin."
“I should use an injection site that is 1 inch from the previous site.“
The Correct Answer is B
A. Disposing of used syringes in the household trash poses a risk of accidental needle sticks to others. The correct method of disposal is using a puncture-resistant container.
B. Storing the current bottle of insulin in the refrigerator is the correct practice to maintain the stability and effectiveness of the insulin. Insulin should be kept refrigerated until opened and
then can be kept at room temperature for up to 28 days.
C. Holding the needle at a 15° angle to the skin is not the recommended technique for insulin injection. The correct angle for subcutaneous insulin injection is usually 45 or 90 degrees, depending on the client's body habitus and the length of the needle.
D. Using an injection site that is 1 inch from the previous site may lead to lipohypertrophy, a condition characterized by fatty tissue buildup under the skin, which can affect insulin absorption. It is recommended to rotate injection sites to avoid this complication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Terbutaline is a beta-adrenergic agonist primarily used to relax smooth muscles in conditions such as asthma or to delay preterm labor. It is not indicated for postpartum hemorrhage.
B. Methylergonovine is an ergot alkaloid medication used to manage postpartum hemorrhage by causing uterine contraction, which helps control bleeding.
C. Magnesium sulfate is commonly used to prevent seizures in clients with preeclampsia or eclampsia. It is not indicated for postpartum hemorrhage.
D. Nifedipine is a calcium channel blocker used to manage hypertension, angina, and preterm labor. It is not indicated for postpartum hemorrhage.
Correct Answer is A
Explanation
- Rationale for A: The name and medical record number are unique identifiers that are used to accurately match a newborn with their medical records and ensure that the correct medication is administered. This method of identification minimizes the risk of medical errors, which is crucial in a hospital setting where multiple newborns may be present.
- Rationale for B: While the birth date and mother's name are important, they may not be as effective for identification because multiple newborns could share a birth date, and there could be more than one mother with the same name in the maternity ward.
- Rationale for C: Age and diagnosis are not specific enough for the identification of a newborn when administering medication. Age is not a distinguishing factor in a neonatal unit, and the diagnosis could apply to multiple infants.
- Rationale for D: Footprints and identification number can be used as secondary identifiers. However, footprints may change rapidly as the newborn grows, and the identification number should be cross-referenced with the name and medical record number for accurate identification.
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