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 ["A","B"]

Explanation

A. The client's skin and eyes are visibly jaundiced is correct because jaundice indicates a buildup of bilirubin in the blood, which is a sign of liver dysfunction.

B. The client's AST and ALT levels are elevated is correct because elevated levels of these liver enzymes indicate hepatocellular injury, which is consistent with liver damage due to acetaminophen overdose.

C. The client's temperature is 102.5° F (39.2° C) is incorrect; while a fever can occur in various conditions, it is not specific for liver damage in this context.

D. The client has an elevated red blood cell count is incorrect; elevated red blood cell counts are not indicative of liver damage and may be related to other factors.

E. The client's eyes are sensitive to light is incorrect; photophobia is not a direct indicator of liver damage and is more related to other conditions.

Correct Answer is ["0.00025"]

Explanation

1 gram = 1,000,000 micrograms

Therefore, 250 micrograms = 250 / 1,000,000 grams = 0.00025 grams

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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 has been admitted after an acetaminophen overdose. Which of the nurse's assessment findings suggest liver damage? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

Convert to equivalents within the metric system. 250 micrograms to grams

Correct Answer is ["0.00025"]

Explanation

Interpret and spell the abbreviation: qh

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