The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:

Draws up the short acting insulin into the syringe first

Administer the insulin IM into rotating sites

Administers the insulin into a doll at a 30-degree angle

Wipes off the needle with an alcohol swab

Answer and Explanation

The Correct Answer is A

A. When mixing insulins, the short-acting insulin should be drawn into the syringe first to avoid contamination of the short-acting insulin with the long-acting insulin.

B. Insulin should be administered subcutaneously, not intramuscularly, and the sites should be rotated to avoid lipodystrophy.

C. Insulin should be administered at a 90-degree angle, not 30 degrees, to ensure proper subcutaneous delivery.

D. Wiping the needle with an alcohol swab is unnecessary and could introduce contaminants.

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Correct Answer is A

Explanation

Shaking the inhaler for 3 to 5 seconds ensures that the medication is properly mixed and will be delivered effectively during inhalation.

B. The correct waiting time between inhalations is usually 1 minute, not 2 minutes, to allow for optimal bronchodilation.

C. Pressing down twice on the MDI canister is incorrect. The client should press down once and inhale the medication deeply.

D. Rinsing the mouth after using the MDI is recommended to prevent oral thrush, but using water, not mouthwash, is generally advised to avoid potential irritation.

A. Initiate IV antibiotics B. Maintain NPO status C. Give promethazine 50 mg intermittent IV bolus D. Administer acetaminophen 800 mg E. Obtain informed consent for surgery F. Obtain abdominal ultrasound G. Administer enemas until clear

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

Explanation

Given the client’s symptoms (right lower quadrant pain, nausea, fever) and elevated WBC count indicating a possible infection, the provider may prescribe IV antibiotics. This is especially important if there is a concern for appendicitis or another bacterial infection.

B. The client may need to be kept NPO (nil per oral) in preparation for possible surgery or diagnostic imaging to prevent complications such as aspiration if surgery is needed.

C. Promethazine is an antiemetic, but the priority in this case would be addressing the underlying condition (likely appendicitis) rather than just managing symptoms. However, it might be used later for symptomatic relief.

D. Acetaminophen may be used for pain management, but with a suspected surgical condition, addressing the root cause is more critical. Pain management will likely be considered after the primary issue is addressed.

E. With symptoms and lab results suggestive of appendicitis, the client may require surgery. Informed consent is necessary before any surgical procedure.

F. An abdominal ultrasound is commonly used to assess for appendicitis in children and can help confirm the diagnosis by visualizing the appendix and assessing for inflammation.

G. Enemas are not indicated in this case and could be harmful. They are not recommended for abdominal pain with a possible surgical condition like appendicitis.

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The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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

Explanation

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