Exhibits
The nurse prepares to give 2 units of insulin lispro.
Which should the nurse double check with a second nurse? Select all that apply.
The dose of insulin drawn up in the syringe
The site for the insulin administration
The type of insulin to be administered
The sliding scale insulin lispro prescription
The insulin concentration
The insulin vial for color and clarity
The history and physical with the diabetes diagnosis listed
The expiration date on the insulin vial
Correct Answer : A,C,D,E,F,H
A. (The dose of insulin drawn up in the syringe): Ensures the correct dosage is being administered, which is critical to avoid under- or overdosing.
B. The site for the insulin administration is not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.
C. (The type of insulin to be administered): Confirms that the correct insulin type (e.g., insulin lispro) is being given, as administering the wrong type could lead to improper glucose control.
D. (The sliding scale insulin lispro prescription): Verifies the correct sliding scale dosing, ensuring it matches the client's current blood glucose level.
E. (The insulin concentration): Ensures the insulin concentration is appropriate and aligns with the prescribed dose.
F. (The insulin vial for color and clarity): Confirms that the insulin is not compromised; any discoloration or cloudiness could indicate that the insulin is not safe to use.
H. (The expiration date on the insulin vial): Ensures the insulin is within its expiration date and effective.
G. The history and physical with the diabetes diagnosis listed are not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cheese, milk, and yogurt are high in calcium, which is not directly relevant to managing the effects of furosemide.
B. Liver, beef, and chicken are protein-rich foods but do not specifically address the potassium needs related to furosemide use.
C. Bananas, oranges, and peaches are rich in potassium, which is important to replenish as furosemide can cause potassium loss.
D. Pasta, cereal, and bread are carbohydrates and do not address the need for potassium in this context.
Correct Answer is D
Explanation
A. Assessing the client's strength in moving and turning is important for overall care but not specific to the need for a laxative.
B. Observing skin integrity is crucial for preventing pressure ulcers but does not directly relate to the need for a laxative.
C. Evaluating the ability to recognize the urge to defecate is important for understanding bowel habits but less relevant when preparing to administer a laxative.
D. Determining the frequency and consistency of bowel movements is essential to assess the need for a laxative and to monitor its effectiveness.
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