A nurse is reinforcing teaching with an adolescent about self-administration of insulin. Which of the following instructions should the nurse include?
"You should chill your medication before administration”
"You should rotate sites when administering the medication."
"You should administer your medication at a 45-degree angle”
"You should administer your insulin into a muscle.”
The Correct Answer is B
A. "You should chill your medication before administration." Insulin should not be chilled before administration. It should be stored in a cool place, but administering insulin directly from the refrigerator can cause discomfort.
B. "You should rotate sites when administering the medication." Rotating injection sites helps prevent tissue damage and the formation of lumps or scar tissue. It is recommended to rotate sites within the same area (e.g., abdomen, thigh, etc.) to ensure absorption and prevent complications.
C. "You should administer your medication at a 45-degree angle." Insulin should generally be administered at a 90-degree angle for subcutaneous injection, not a 45-degree angle. A 45-degree angle may be appropriate.
D. "You should administer your insulin into a muscle." Insulin should be administered subcutaneously (into the fat layer just under the skin), not into the muscle. Injecting insulin into a muscle can alter its absorption rate and may cause irritation or pain.
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Related Questions
Correct Answer is C
Explanation
A. Pinto beans: Pinto beans are a good source of protein, but they are not considered a complete protein. They lack some of the essential amino acids, although they can be paired with other foods (like rice) to form a complete protein.
B. Peanut butter: Peanut butter is a good source of protein, but like pinto beans, it is not a complete protein. It lacks some essential amino acids, and while it can be part of a balanced diet, it does not provide all the necessary amino acids on its own.
C. Eggs: Eggs are an excellent source of complete protein because they contain all nine essential amino acids that the body cannot produce on its own. They are considered one of the best sources of high-quality, complete protein.
D. Broccoli: While broccoli contains some protein, it is not a complete protein. It provides some essential amino acids, but not all nine, so it does not qualify as a complete protein source on its own.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
Explanation
Rationale for Correct Choices:
- Fontanel finding: The sunken fontanel indicates signs of dehydration, which is the primary concern for this infant. Dehydration can lead to severe complications and should be addressed first through appropriate fluid resuscitation (IV fluids) to prevent further deterioration.
- Temperature: The infant has a fever of 38.4°C (101.1°F), which needs to be managed with acetaminophen as prescribed. While dehydration is the priority, the temperature should also be controlled to prevent worsening of the infant's condition and to make the child more comfortable.
Rationale for Incorrect Choices:
- Diaper area: While the excoriated diaper area is concerning, it is not the most urgent issue compared to dehydration, which can quickly worsen. Dehydration and fever management should be prioritized before addressing skin irritation.
- Stool culture results: The positive stool culture for Shigella is important for determining the infection, but addressing the infant's hydration status and fever is more urgent to stabilize the child. The results will guide further treatment but do not need immediate intervention over dehydration.
- Appetite history: While the infant's poor feeding history is significant, addressing dehydration and fever management should take precedence to stabilize the infant before evaluating feeding patterns in more detail.
- Activity tolerance finding: The infant’s fatigue is likely due to dehydration and fever. Stabilizing hydration and controlling the fever will improve the infant’s activity tolerance, making this secondary to the more urgent issues.
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