A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include?
"Pull back on the plunger after injecting the insulin."
"Store the current bottle of insulin at room temperature."
"Massage the injection site after removing the needle."
"Use each syringe up to six times."
The Correct Answer is B
A. Pulling back on the plunger after injecting insulin is incorrect and could cause the medication to leak out, leading to inadequate dosing.
B. Storing the current bottle of insulin at room temperature (if not in use) helps maintain the insulin's effectiveness and reduces discomfort during injections.
C. Massaging the injection site is not recommended as it can cause the insulin to absorb too quickly and lead to variable blood sugar levels.
D. Each syringe should only be used once to prevent contamination and ensure accurate dosing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Condition Most Likely Experiencing:
- Type 1 diabetes
Actions to Take:
- Teach the client about the signs of hyperglycemia.
- Assess the client’s feet for sensation.
Parameters to Monitor:
- Fingerstick blood glucose
- Blood pressure
Rationale: The client has a high HbA1c (8.4%) and elevated blood glucose level (235 mg/dL), indicating poor blood glucose control. Symptoms such as fatigue, blurred vision, and dizziness suggest hyperglycemia, which can occur in clients with diabetes who have not been able to maintain regular glucose monitoring or insulin administration due to financial constraints. Teaching the client about hyperglycemia symptoms and checking feet for sensation is important due to the risk of complications like neuropathy. Monitoring blood glucose and blood pressure is essential for evaluating diabetes management and preventing complications.
Correct Answer is ["2"]
Explanation
To administer a dose of 650 mg of aspirin when only 325 mg tablets are available, the nurse would need to give two tablets to meet the required dose. Each tablet contains 325 mg, so two tablets would equal 650 mg, which is the desired dose to be administered every 12 hours.
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