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The client has diabetes Type I, a body mass index (BMI) of 17 and poor skin turgor. How should the nurse plan to administer the prescribed.
Humulin R 7 units subcutaneously?

A.

Select an insulin syringe, 31 gauge 6 mm needle and inject insulin at a 45-degree angle.

B.

Select a 0.5 mL syringe, 30 gauge, 8 mm needle and inject at a 90-degree angle.

C.

Select a 0.5 mL syringe, 29 gauge 8 mm needle, pinch the skin, and inject at 45 degrees.

D.

Select a 1.0 mL syringe, 28 gauge 12.7 mm needle, and inject at 90 degrees.

Answer and Explanation

The Correct Answer is B

Select a 0.5 mL syringe, 30 gauge, 8 mm needle and inject at a 90-degree angle. This is because Humulin R is a clear and colorless solution that can be given by subcutaneous injection.

A 0.5 mL syringe can hold up to 50 units of insulin, which is enough for the prescribed dose of 7 units. A 30 gauge, 8 mm needle is suitable for thin patients with poor skin turgor. Injecting at a 90-degree angle ensures that the insulin reaches the subcutaneous tissue and not the muscle.

Choice A is wrong because a 31 gauge, 6 mm needle is too short and may not deliver the insulin into the subcutaneous tissue.

Choice C is wrong because pinching the skin is not necessary for thin patients with poor skin turgor.

Choice D is wrong because a 1.0 mL syringe is too large for the prescribed dose of 7 units and may cause dosing errors. A 28 gauge, 12.7 mm needle is too long and may inject the insulin into the muscle, which can affect its absorption and action.


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Related Questions

Correct Answer is C

Explanation

Albumin is a protein that is made by the liver and helps maintain fluid balance in the

body. The normal range for albumin is 3.5 to 5.5 g/dL or 35-55 g/liter. A low albumin level can indicate malnutrition, liver disease, kidney disease, inflammation, or other conditions that affect protein synthesis or loss.

A client diagnosed with Imbalanced Nutrition: Less than Body Requirements would be expected to have a low albumin level due to inadequate protein intake or absorption.

Choice A is wrong because hemoglobin = 14.2 g/dL is within the normal range for males, which is 13.2 to 16.6 g/dL.

Hemoglobin is a protein in red blood cells that carries oxygen throughout the body. A low hemoglobin level can indicate anemia, which can be caused by blood loss, iron deficiency, vitamin B12 deficiency, or other conditions that affect red blood cell production or destruction.

Choice B is wrong because potassium = 4.2 mEq/L is within the normal range for adults, which is 3.5 to 5 mEq/L.

Potassium is an electrolyte that helps regulate fluid balance, nerve impulses, and muscle contractions. A low potassium level can indicate dehydration, diarrhea, vomiting, diuretic use, or other conditions that cause potassium loss. A high potassium level can indicate kidney disease, adrenal insufficiency, acidosis, or other conditions that cause potassium retention.

Choice D is wrong because creatinine = 0.8 mg/dL is within the normal range for adults, which is 0.6 to 1.2 mg/dL.

Correct Answer is C

Explanation

This is because hepatitis C is a viral infection that spreads through contaminated blood and body fluids. IV drug use is one of the most common ways to get hepatitis C, especially if people share needles or other equipment.

Choice A is wrong because drinking contaminated water is not a risk factor for hepatitis

C. Hepatitis A and E are transmitted by the fecal-oral route, which can happen through contaminated water.

Choice B is wrong because eating raw chicken is not a risk factor for hepatitis C. Hepatitis E can be transmitted by eating undercooked meat from infected animals, but not chicken.

Choice D is wrong because unprotected intercourse is not a major risk factor for hepatitis

C. Hepatitis B and D are more likely to be transmitted by sexual contact than hepatitis

C. However, having multiple sexual partners or having sexually transmitted diseases can increase the risk of hepatitis

C. Normal ranges for hepatitis C tests depend on the type of test and the laboratory that performs it.

Some common tests are:

  • Anti-HCV antibody test: This test detects antibodies to the hepatitis C virus in the blood.

A positive result means that the person has been exposed to the virus, but does not necessarily mean that they have an active infection. A negative result means that the person has never been exposed to the virus or has cleared it from their body.

  • HCV RNA test: This test measures the amount of hepatitis C virus in the blood.

A positive result means that the person has an active infection and can transmit the virus to others. A negative result means that the person does not have an active infection or has cleared it from their body.

  • HCV genotype test: This test identifies the strain or type of hepatitis C virus that the person has. There are six major genotypes of hepatitis C, numbered 1 to 6, and each one may respond differently to treatment.

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