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 ["83"]

Explanation

To calculate the infusion rate, you would divide the total volume of IV fluid (1,000 mL) by the number of hours over which the infusion is to be delivered (12 hours). This results in an infusion rate of 83.33 mL/hr. When rounding to the nearest whole number, the nurse should set the IV pump to deliver 83 mL/hr.

A. Read him a story every night. B. Feed him his lunch. C. Allow him to pull a talking-duck toy. D. Have him watch a puppet show on television.

Correct Answer is C

Explanation

A. Reading a story is beneficial but does not directly support the toddler's developmental task of autonomy and initiative.

B. Feeding the toddler is a basic need but does not support the development of independence.

C. Allowing the toddler to pull a talking-duck toy supports their developmental task of autonomy and initiative by promoting physical activity and exploration.

D. Watching a puppet show is a passive activity and does not foster the active exploration needed for this developmental stage.

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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 preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["83"]

Explanation

When the nurse examines a toddler, she suggests to his mother that the activity that could most appropriately foster his developmental task according to Erikson would be to:

Correct Answer is C

Explanation

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