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: Administering insulin at proper timing correlates with mealtimes. However, this alone doesn't ensure safe practice.

Choice B reason: Confirming the injection site prevents lipodystrophy but does not address dose accuracy, which is vital for safety.

Choice C reason: Insulin is injected subcutaneously, not in the deltoid muscle. Using incorrect sites disrupts absorption.

Choice D reason: Double-checking insulin dose prevents administration errors, ensuring compliance with medication safety protocols.

A. Lisinopril B. Acetaminophen C. Morphine D. Fentanyl

Correct Answer is A

Explanation

Choice A reason: Lisinopril is Zestril’s generic name; an ACE inhibitor, it’s widely used for hypertension, matching the context of a common medication order.

Choice B reason: Acetaminophen, a pain reliever, isn’t Zestril’s generic; it lacks antihypertensive action, making it irrelevant to the implied medication class.

Choice C reason: Morphine, an opioid, treats pain, not hypertension; it doesn’t align with Zestril’s purpose or class, ruling it out as the generic name.

Choice D reason: Fentanyl, another opioid, addresses pain, not blood pressure; it’s unrelated to Zestril’s therapeutic role, excluding it from consideration.

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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

A nurse is administering a dose of insulin to a patient. To practice nursing safely and effectively, the nurse should:

Correct Answer is D

Explanation

What is the generic name on the medication? (No medication specified; assuming a common example from context, e.g., Zestril.)

Correct Answer is A

Explanation

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