A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?

Into the patient's vastus lateralis

Into the patient's deltoid

Into the patient's intravenous line

Into the fatty tissue of the patient's abdomen

Answer and Explanation

The Correct Answer is D

Choice A reason: Vastus lateralis is muscle; insulin given intramuscularly absorbs too fast, risking hypoglycemia, unlike the slower, safer subcutaneous route intended.

Choice B reason: Deltoid is also muscle; subcutaneous insulin isn’t given here as it’s not fatty enough, leading to unpredictable absorption rates versus abdominal tissue.

Choice C reason: Intravenous line is for IV drugs; insulin via IV is rare and only in emergencies, not standard subcutaneous orders, risking rapid overdose effects.

Choice D reason: Abdominal fat is ideal for subcutaneous insulin; it ensures steady absorption into capillaries, maintaining glycemic control per pharmacokinetic principles.

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Correct Answer is D

Explanation

Choice A reason: Retailers use trade or generic names; trade isn’t exclusive here, as generics are sold too, making this a shared rather than unique trait.

Choice B reason: Chemical names define molecular structure (e.g., acetaminophen); trade names (e.g., Tylenol) are brand-specific, not tied to chemistry recognition.

Choice C reason: Orders use trade or generic names (e.g., Zestril or lisinopril); trade isn’t the only option, as generics are equally valid in prescriptions.

Choice D reason: Trade names are trademarked (e.g., Viagra); this legal protection distinguishes them from generic or chemical names, ensuring brand exclusivity.

A. Call the client's name. B. Ask the client to fully state name, and check the client's identification armband with the medication administration record (MAR). C. Ask the family or visitors the client's name. D. Check the client's name on the door or bed.

Correct Answer is B

Explanation

Choice A reason: Calling the name relies on response accuracy; confused or hearing-impaired patients may not answer correctly, risking misidentification and medication errors.

Choice B reason: Verbal confirmation plus armband verification against the MAR ensures identity via two identifiers, aligning with safety protocols to prevent administration errors scientifically.

Choice C reason: Family or visitors may misidentify due to stress or error; this lacks direct patient verification, increasing risk of giving medication to the wrong individual.

Choice D reason: Bed or door labels can be outdated or misplaced; this indirect method fails to confirm identity actively, heightening the chance of medication misadministration.

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A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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