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?
Select an insulin syringe, 31 gauge 6 mm needle and inject insulin at a 45-degree angle.
Select a 0.5 mL syringe, 30 gauge, 8 mm needle and inject at a 90-degree angle.
Select a 0.5 mL syringe, 29 gauge 8 mm needle, pinch the skin, and inject at 45 degrees.
Select a 1.0 mL syringe, 28 gauge 12.7 mm needle, and inject at 90 degrees.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is D
Explanation
One drop left eye daily.
This is because it uses the correct abbreviation for left eye (os) and the correct frequency (daily).
The other choices are wrong because:
Choice A uses od which means right eye, not once daily.
Choice B uses ou which means both eyes, not each eye.
Choice C uses right ear which is not an eye drop medication. Some common eye drop prescription abbreviations are:
- gt or gtt for drop or drops
- od for right eye
- os for left eye
- ou for both eyes
- bid for twice a day
- tid for three times a day
- qid for four times a day
- prn for as needed
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