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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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Captopril, an ACE inhibitor, is not commonly associated with jaundice, so it is less likely to be the cause of this symptom.
B. Acetaminophen can cause liver toxicity, which may manifest as jaundice, especially in high doses or with chronic use. This requires immediate attention.
C. Omeprazole, a proton pump inhibitor, is not typically associated with jaundice.
D. Prednisone, a corticosteroid, can have various side effects, but jaundice is not a common one.

A. Once pain subsides, NSAID therapy can be resumed. B. Resume a diet that consists of milk, cream, and bland foods. C. Notify the healthcare provider of the passage of black stools. D. Call the clinic if diarrhea or headache occur when taking esomeprazole.

Correct Answer is C

Explanation

A. NSAIDs should not be resumed without medical advice, especially if there has been significant gastrointestinal bleeding.
B. A diet of milk, cream, and bland foods is not specifically recommended for this condition and does not address the underlying issue of NSAID-induced gastrointestinal damage.
C. Black stools can indicate gastrointestinal bleeding, which is a serious side effect of NSAIDs and requires immediate medical attention.
D. While esomeprazole can cause side effects like diarrhea or headache, they are not as urgent as reporting possible gastrointestinal bleeding.

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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.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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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.

A client is receiving tamsulosin, an alpha-adrenergic blocking agent, for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?

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.