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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Nighttime symptoms occurring twice a month is more characteristic of intermittent asthma rather than mild persistent asthma, which might present with nighttime symptoms more frequently.
B. In mild persistent asthma, the peak expiratory flow (PEF) is typically greater than or equal to 80% of the predicted value, indicating relatively good control of asthma symptoms.
C. Continuous symptoms throughout the day are not typical for mild persistent asthma; symptoms usually occur intermittently.
D. Minor limitations with normal activity are expected in mild persistent asthma, as the condition can cause some restrictions in daily activities but not severe impairments.
E. Daytime symptoms occur more than twice a week. This is a key feature of mild persistent asthma. Intermittent asthma = ≤2 days/week. Daily symptoms would indicate moderate persistent.
Correct Answer is B
Explanation
A. Obtaining a blood culture is important but is not the immediate priority when a transfusion reaction is occurring.
B. Stopping the transfusion is the first step in managing a transfusion reaction to prevent further exposure to the allergen or irritant causing the symptoms.
C. Slowing the transfusion rate might not be sufficient if a reaction is occurring; stopping it is crucial.
D. Providing a diuretic is not relevant to the management of an acute transfusion reaction.
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