The nurse is preparing to administer 20 units of NPH insulin to a client. Before administering the medication, the nurse should implement which intervention?
Massage the chosen injection site.
Assess the client's urine for the presence of glucose.
Assess the client's understanding of diabetes.
Have a colleague confirm the dosage.
The Correct Answer is D
This intervention is important to ensure accurate dosing and prevent medication errors. Insulin is a high-alert medication, meaning that it has a high potential for causing significant harm to the patient if administered incorrectly. Doublechecking the insulin dosage with a colleague can help prevent errors in dosing, which could lead to hypoglycemia or hyperglycemia in the client. It is also important to confirm the dosage since insulin dosing is based on individualized factors such as the client's blood glucose levels, weight, and overall health status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Menotropins, also known as human menopausal gonadotropin (hMG), are a hormone treatment commonly used in infertility treatment. They contain both follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which stimulate the growth and maturation of follicles in the ovaries and the release of eggs during ovulation. This treatment is often used in women who are not ovulating regularly or who have other fertility problems. Somatotropin is used to treat growth hormone deficiency, thyrotropin alfa is used to treat thyroid cancer, and pegvisomant is used to treat acromegaly.
Correct Answer is A
Explanation
A. An increase in serum lactate – This is a critical laboratory value that can indicate lactic acidosis, a serious side effect associated with metformin, especially in older adults or those with renal impairment. An increase in serum lactate necessitates discontinuation of the medication.
B. A decrease in hemoglobin and hematocrit – While this change may indicate anemia, it is not directly associated with the need to discontinue metformin. Further evaluation of the cause of anemia would be necessary.
C. An increase in white blood cells – This could indicate an infection or inflammatory process but does not specifically necessitate the discontinuation of metformin.
D. A decrease in potassium accompanied by an increase in sodium – While electrolyte imbalances should be monitored, this change does not directly indicate that metformin should be discontinued.
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