A patient is prescribed 15 units of regular insulin (U-100) to be taken before meals. Which syringe size should the nurse choose to ensure accurate dosing?
U-500 syringe
0.5 mL syringe
0.3 mL syringe
1 ml syringe
The Correct Answer is C
A. U-500 syringe: A U-500 syringe is designed for very high-concentration insulin (500 units/mL), not standard U-100 insulin. Using it for a 15-unit U-100 dose would result in a dangerously high dose.
B. 0.5 mL syringe: A 0.5 mL syringe can hold up to 50 units of U-100 insulin, but the markings are less precise for small doses like 15 units, increasing the risk of measurement error.
C. 0.3 mL syringe: A 0.3 mL insulin syringe is ideal for small doses up to 30 units of U-100 insulin. Its fine calibration allows accurate measurement of a 15-unit dose, ensuring safe administration.
D. 1 mL syringe: Although a 1 mL syringe can accommodate the 15-unit dose, the larger markings reduce precision, making it less accurate than a 0.3 mL syringe for small insulin doses.
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Related Questions
Correct Answer is C
Explanation
A. Use fractions instead of decimals: Fractions can be confusing and prone to misinterpretation, increasing the risk of medication errors rather than minimizing them.
B. Write the unit abbreviation before the amount: Standard practice is to write the numeric amount first, followed by the unit (e.g., 5 mL), to avoid confusion and ensure clarity.
C. Avoid using trailing zeros after decimal points: Trailing zeros (e.g., 5.0 mg) can lead to tenfold dosing errors if misread. Omitting unnecessary zeros (e.g., 5 mg) enhances accuracy and reduces the risk of medication errors.
D. Always use Roman numerals for clarity: Roman numerals are not used in medication dosing because they are easily misinterpreted and do not improve clarity; they can increase the risk of errors.
Correct Answer is A
Explanation
A. Use a leading zero before a decimal point: A leading zero (e.g., 0.5 mg) prevents misinterpretation of the decimal as a whole number, reducing the risk of tenfold dosing errors and promoting safe medication administration.
B. Write fractions instead of decimals: Fractions are prone to misinterpretation and calculation errors, making them unsafe for documenting medication dosages.
C. Place the unit of measurement before the number: Standard practice places the numeric value first, followed by the unit (e.g., 5 mL), to ensure clarity and prevent confusion.
D. Include a trailing zero after a whole number: Trailing zeros (e.g., 5.0 mg) are unsafe because they can be misread as ten times the intended dose; they should be avoided in medication notation.
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