The nurse is preparing to administer a mixture of 12 units regular insulin and 45 units NPH insulin to a client with a blood sugar of 378 mg/dl. After the nurse draws the medication into the syringe, what is the nurse's next action?

Administer the insulin to the client

Check the dosage with another nurse

Check the client's blood sugar again

Ensure a meal tray is available

Answer and Explanation

The Correct Answer is B

A. Administer the insulin to the client is incorrect as the nurse should first verify the dosage for safety before administration.

B. Check the dosage with another nurse is correct because double-checking the insulin dosage with another licensed nurse is a critical safety step to prevent medication errors.

C. Check the client's blood sugar again is incorrect; while monitoring blood sugar is important, it is not the immediate next action after preparing the insulin.

D. Ensure a meal tray is available is incorrect; although the client should have a meal ready after insulin administration, the priority action before administering the medication is to confirm the dosage.

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Correct Answer is D

Explanation

A. Liver failure does not have a direct contraindication with bronchodilators, though careful monitoring is needed.

B. Renal failure is not a direct contraindication for bronchodilator use; however, kidney function can affect drug metabolism and clearance.

C. Respiratory failure may necessitate bronchodilator therapy rather than caution, especially in conditions like COPD or asthma where bronchodilators are crucial for management.

D. Heart failure requires caution with bronchodilators because they can lead to increased heart rate and blood pressure, potentially exacerbating heart failure symptoms or leading to arrhythmias.

A. heart rate B. blood pressure C. cognition D. assessment for signs of bleeding

Correct Answer is B

Explanation

A. heart rate is not the primary concern when assessing the interaction between NSAIDs and loop diuretics.

B. blood pressure is correct; the combination of an NSAID and a loop diuretic can lead to fluid retention, potentially elevating blood pressure. Monitoring blood pressure is crucial in this context.

C. cognition is not directly impacted by the combination of these medications.

D. assessment for signs of bleeding is important when taking NSAIDs due to their effect on platelet function, but the more immediate concern is the potential fluid retention affecting blood pressure.

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The nurse is preparing to administer a mixture of 12 units regular insulin and 45 units NPH insulin to a client with a blood sugar of 378 mg/dl. After the nurse draws the medication into the syringe, what is the nurse's next action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is taking a bronchodilator. In what disease process should bronchodilators be used cautiously?

Correct Answer is D

Explanation

A client's current drug regimen includes a nonsteroidal antiinflammatory drug (NSAID) and a loop diuretic. What assessment should the nurse consequently prioritize?

Correct Answer is B

Explanation

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Interpret and spell the abbreviation: SL

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