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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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Meeting friends for fast food daily. This option does not promote joint mobility or health and could lead to poor overall health.

B. Running 5 miles daily in a safe, well-lit area. While running can improve cardiovascular health, it may not be appropriate for an elderly person due to the risk of joint and injury.

C. Exercising 2 hours each day in a gym. Excessive exercise can lead to injury, particularly in the elderly. Moderation and appropriate exercise are crucial.

D. Walking on a lunch break with a friend in a safe area. Regular walking is a low-impact exercise that promotes joint mobility and overall health, making it a suitable choice for an elderly person.

A. "I can tell your family not to visit you close to bedtime." B. "Would you like me to provide you with earplugs?" C. "I can get you a mental health consult if you think that would help." D. "Tell me why you think you may not be sleeping at night."

Correct Answer is D

Explanation

A. "I can tell your family not to visit you close to bedtime." While this could be a consideration, it does not address the patient's immediate concerns and the possible causes of their sleep issues.

B. "Would you like me to provide you with earplugs?" This is a possible solution but does not investigate the underlying cause of the sleep issue.

C. "I can get you a mental health consult if you think that would help." A mental health consult may be helpful, but it is not the first step in understanding and addressing the immediate concern.

D. "Tell me why you think you may not be sleeping at night." This is the best initial response as it allows the nurse to understand the root cause of the patient's sleep disturbances and address specific issues, such as noise, light, or discomfort.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is teaching a sedentary elderly female about the importance of joint mobility. Which of the following lifestyle interventions would prevent injury to the affected joints?

Correct Answer is D

Explanation

The nurse is caring for a hospitalized patient who states, "I cannot sleep at night in this hospital and it's making me crazy." Which of the following should the nurse ask first?

Correct Answer is D

Explanation

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