A nurse is teaching a client Who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?
Administer the insulin in two separate injections.
Keep the open vial of insulin at room temperature.
Aspirate the medication prior to administration.
Inject the insulin into a large muscle.
The Correct Answer is B
Regular insulin (short-acting) and NPH insulin (intermediate-acting) can be mixed and administered in the same syringe. This is a common practice when using both types of insulin to simplify the injection process, as long as the client is instructed on proper mixing techniques.
B. Open vials of insulin can be stored at room temperature (typically up to 25°C or 77°F) for a certain period (usually about 28 days) before they need to be refrigerated again. This makes the insulin more comfortable to inject and helps maintain its effectiveness.
C. Aspiration is not recommended for insulin injections due to the risk of injecting into a blood vessel
D. Insulin injections should be administered subcutaneously, not into a large muscle.
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Related Questions
Correct Answer is D
Explanation
Bethanechol is a cholinergic agonist used to stimulate contraction of the bladder to help in the expulsion of urine. It is used in the management of urinary retention by promoting bladder emptying. Therefore, it should be administered when the client reports an inability to void, as this indicates urinary retention
A. Bladder spasms are treated with Oxybutynin
B. Frequent painful urination is a feature of UTI requiring antibiotics
C. Bethanechol has no analgesic property
Correct Answer is D
Explanation
Sucralfate is a medication used to treat gastric and duodenal ulcers by forming a protective coating over the ulcer site to prevent acid exposure. Taking it 1 hour before meals and bedtime ensures formation of a coat prior to production of acid during digestion or lying down.
A. Taking sucralfate "as needed" may lead to overdose as well as reduced effectiveness
B. There's no need to reduce fluid intake with sucralfate.
C. Sucralfate should not be taken with antacids, as they can interfere with its effectiveness by altering its pH-dependent mechanism of action. It's generally recommended to take sucralfate at least 30 minutes before or after taking antacids.
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