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"I will discard the current vial of insulin after six doses have been withdrawn."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."
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A. "I will discard the current vial of insulin after six doses have been withdrawn.": Insulin vials can be used for up to 28 days when stored at room temperature, not discarded based on the number of doses withdrawn.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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Has no peak: NPH insulin has a distinct peak time, unlike long-acting insulins such as glargine or detemir, which have no peak.
B. 4 to 14 hr: NPH insulin is an intermediate-acting insulin with an onset of 1-2 hours, a peak between 4-14 hours, and a duration of 16-24 hours.
C. 1 to 5 hr: This timeframe describes the peak of short-acting insulins such as regular insulin.
D. 30 min to 3 hr: This timeframe describes the peak of rapid-acting insulins such as lispro, aspart, or glulisine.
Correct Answer is B
Explanation
A. Check the client for hypoglycemia 4 hr after the insulin lispro injection: Insulin lispro is rapid-acting, with a peak effect 1-2 hours after administration. Monitoring for hypoglycemia should focus on this timeframe, not 4 hours later.
B. Inject insulin lispro 15 min before a meal: Insulin lispro has an onset of action of about 15 minutes, making it ideal to administer shortly before meals to match glucose absorption and prevent postprandial hyperglycemia.
C. Administer insulin lispro in the same syringe as a short-acting insulin: Mixing insulin lispro with other insulins is not recommended; each type has specific mixing guidelines, and lispro is typically given alone.
D. Monitor the client for polyuria after the insulin lispro injection: Polyuria is a symptom of hyperglycemia, not an expected finding after insulin administration. Insulin lispro should reduce hyperglycemia and associated symptoms.
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