A nurse receives a new prescription from the provider that reads "Give regular insulin 14 units and NPH insulin 28 units subcutaneously at breakfast." How many syringes should the nurse prepare?
__________syringe
The Correct Answer is ["1"]
Both regular insulin and NPH insulin can be mixed in one syringe, as they are compatible. The nurse should draw up regular insulin first (14 units) and then NPH insulin (28 units) to ensure accuracy. Only 1 syringe is required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Insulin injections daily: Uncontrolled blood glucose levels, despite dietary compliance, indicate that the pancreas may not be producing adequate insulin. Daily insulin is necessary to control hyperglycemia in this situation.
B. Fluid restrictions: Fluid restrictions are not indicated unless the client has comorbidities like heart or renal failure.
C. Oral hypoglycemic medications: Oral medications are often ineffective for Type 1 diabetes or severe cases of Type 2 diabetes with marked hyperglycemia.
D. Peritoneal dialysis therapy: This is a treatment for end-stage renal disease, not uncontrolled diabetes mellitus.
Correct Answer is C
Explanation
A. "I will discard the current vial of insulin after six doses have been withdrawn.": Insulin vials can be used for up to 28 days when stored at room temperature, not discarded based on the number of doses withdrawn.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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