A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"I will discard the current vial of insulin after six doses have been withdrawn."

"I will return any unused vials of insulin to the pharmacy once they have been on the unit for 1 month."

"I can keep the current vial of insulin in use stored at room temperature."

"I will store unopened vials of insulin in the freezer."

Answer and Explanation

The Correct Answer is C

A. "I will discard the current vial of insulin after six doses have been withdrawn.": Insulin vials can be used for up to 28 days when stored at room temperature, not discarded based on the number of doses withdrawn.

B. "I will return any unused vials of insulin to the pharmacy once they have been on the unit for 1 month.": Unused insulin vials should be stored properly (refrigerated for unopened vials) and do not need to be returned unless there is an error or expired stock.

C. "I can keep the current vial of insulin in use stored at room temperature.": Once opened, insulin vials can be stored at room temperature (below 86°F or 30°C) for up to 28 days to prevent degradation.

D. "I will store unopened vials of insulin in the freezer.": Freezing insulin damages its effectiveness; unopened insulin should be refrigerated but never frozen.

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Correct Answer is ["2"]

Explanation

Dose required: 275 mcg

Dose available: 137 mcg/tablet

Tablets required = 275137

= 2.007137275

=2.007

rounded to 2 tablets.

A. Hypernatremia B. Hypotension C. Bradycardia D. Hypokalemia

Correct Answer is B

Explanation

A. Hypernatremia: Addison’s disease causes low aldosterone levels, leading to hyponatremia rather than hypernatremia.

B. Hypotension: Addison's disease causes insufficient cortisol and aldosterone, resulting in fluid loss and low blood pressure, especially in stress or postoperative states.

C. Bradycardia: Addison’s disease does not typically affect heart rate directly, though hypotension may cause a compensatory increase in heart rate (tachycardia).

D. Hypokalemia: Addison's disease leads to hyperkalemia due to low aldosterone levels, which reduce potassium excretion by the kidneys.

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A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is caring for a client who is postoperative and has a history Addison's disease. For which of the following manifestations should the nurse monitor?

Correct Answer is B

Explanation

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