A patient using an insulin pump reports redness at the infusion site. What is the nurse's first action?
Increase the insulin dose to compensate for reduced absorption.
Reassure the patient that this is normal.
Change the infusion site and assess for signs of infection.
Apply a warm compress to the site.
The Correct Answer is C
A. Increase the insulin dose to compensate for reduced absorption: Increasing the dose without addressing the site problem may lead to unpredictable absorption and risk of hypoglycemia once the site heals.
B. Reassure the patient that this is normal: While minor irritation can occur, redness may indicate inflammation or early infection. Dismissing it without assessment could delay necessary treatment.
C. Change the infusion site and assess for signs of infection: The first priority is to stop using the affected site to prevent further irritation or infection. Assessing the area ensures early detection and management of potential complications.
D. Apply a warm compress to the site: Applying heat without evaluating the cause may worsen inflammation or mask infection. The site should first be assessed and the infusion moved.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Calculation:
Ordered Dose: 10 mg
Available Tablet Strength: 20 mg/tablet
- Calculate the number of tablets using the desired over have formula
Number of Tablets = Desired Dose ÷ Have
Number of Tablets = 10 ÷ 20
Number of Tablets = 0.5 tablets
Correct Answer is B
Explanation
A. To identify the therapeutic class of the medication: Knowing the therapeutic class can provide context for its use, but it does not prevent administration errors or ensure the correct drug is given.
B. To ensure the correct medication is given to the right patient: Verifying the medication name multiple times is critical to prevent medication errors, particularly with drugs that have similar names. This step ensures the intended drug is administered safely to the correct patient.
C. To confirm the manufacturing date of the drug: While checking expiration or manufacturing dates is important for safety, it does not replace verification of the medication’s identity for accurate administration.
D. To determine the storage conditions required: Storage information helps maintain drug stability, but it is not the reason for multiple checks of the medication name before administration.
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