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"I will discard the current vial of insulin after six doses have been withdrawn."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A. "I will discard the current vial of insulin after six doses have been withdrawn.": Insulin vials can be used for up to 28 days when stored at room temperature, not discarded based on the number of doses withdrawn.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 C
Explanation
A. Give the client 15 to 20 g of carbohydrate: While administering a carbohydrate source is appropriate to treat hypoglycemia, the nurse should first confirm whether the client is experiencing hypoglycemia by checking their blood glucose level.
B. Notify the nurse manager: Reporting the error is important but not the priority. The client's safety takes precedence over reporting.
C. Check the client's blood glucose level: This is the priority action to determine if hypoglycemia has occurred due to the incorrect insulin dose. Immediate identification of hypoglycemia ensures timely treatment.
D. Complete an incident report: Incident reports are essential for documenting errors, but they are a secondary step after ensuring the client's safety.
Correct Answer is B
Explanation
A. "Drinking plenty of water with your wine will lessen its effects, especially hypoglycemia.": Drinking water does not mitigate the risk of hypoglycemia caused by alcohol's effects on gluconeogenesis.
B. "You may drink an occasional glass of wine with a meal.": Consuming alcohol with food reduces the risk of alcohol-induced hypoglycemia.
C. "Wine is loaded with carbohydrates, so you should never drink wine.": Wine typically has minimal carbohydrates; the issue is alcohol's effect on blood sugar levels, not its carbohydrate content.
D. "You may have no more than three glasses of wine a day.": This amount exceeds the recommendations for safe alcohol consumption and can worsen diabetes control.
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