The nurse is preparing to administer prescribed modified (cloudy) and nonmodified (clear) insulin to a client with type 1 diabetes. Place the following steps in the correct order, that the nurse should take to prepare the medication. All options must be used.
Inject the amount of air to the modified (cloudy) vial that is equal to the prescribed dose of modified (cloudy) insulin.
Invert the vial of non-modified (clear) insulin, then insert needle into the vial and draw back the prescribed dose
Inject the amount of air into the nonmodified (clear) vial that is equal to the prescribed dose of unmodified (clear) Insulin
Invert the vial of modified insert the needle into the (cloudy) Insulin, then vial and draw back the prescribed dose.
The Correct Answer is A, C, B, D
Step 1: A. Inject the amount of air into the modified (cloudy) vial that is equal to the prescribed dose of modified (cloudy) insulin. This step is correct and should be done first. Injecting air into the vial of cloudy insulin (modified) helps to prevent creating a vacuum and makes it easier to withdraw the insulin.
Step 3: B. Invert the vial of non-modified (clear) insulin, then insert the needle into the vial and draw back the prescribed dose. This step should be done after air has been injected into the modified insulin vial. The clear insulin (non-modified) should be drawn first to avoid contamination of the clear insulin with the cloudy insulin.
Step 2: C. Inject the amount of air into the nonmodified (clear) vial that is equal to the prescribed dose of nonmodified (clear) insulin. This step should be done before drawing the insulin from the clear vial. Injecting air into the clear insulin vial helps to equalize the pressure and makes it easier to withdraw the insulin.
Step 4: D. Invert the vial of modified (cloudy) insulin, then insert the needle into the vial and draw back the prescribed dose. This step should be done after drawing the clear insulin. Drawing the cloudy insulin last helps to prevent any contamination of the clear insulin with the cloudy insulin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “Your children, they cannot take away your driving privileges." This response is dismissive and does not address the safety concerns or explore alternative solutions. It may also ignore legal and practical considerations.
B. "Driving is hard for older people; now you will have more time to try a new hobby." This response does not directly address the individual's concerns and may come across as insensitive. It also does not explore practical alternatives for transportation.
C. "This change can be difficult; let's explore alternative transportation methods." This is the most appropriate response as it acknowledges the difficulty of the situation while offering practical support by exploring alternative transportation options.
D. “Losing your privileges is awful; now you have to wait for someone else to drive you around." This response is negative and does not provide constructive support. It may increase feelings of frustration or helplessness rather than addressing the issue constructively.
Correct Answer is ["B","D"]
Explanation
A. "Addressing organ donation and autopsy issues." Advanced directives typically address preferences about medical treatment and end-of-life care, but organ donation and autopsy decisions are not always included in these directives. Organ donation often involves a separate document or registration.
B. "Naming a durable power of attorney for my health care needs." An advanced directive often includes designating a durable power of attorney (DPOA) for healthcare decisions. This person is authorized to make medical decisions on the patient’s behalf if they become unable to do so themselves.
C. "Addressing who gets my personal items if I should die." The distribution of personal items is typically covered in a will, not an advanced directive. Advanced directives focus on healthcare decisions rather than the distribution of personal property.
D. "Naming which life-sustaining treatments I want and do not want." Advanced directives often include instructions about specific medical treatments and interventions that the patient does or does not want, such as resuscitation, mechanical ventilation, or tube feeding.
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