The nurse is teaching a patient about home administration of insulin.

The patient will receive regular insulin and NPH insulin at 0700 every day. What is important to teach the patient?

Draw up the regular insulin last.

Draw up the insulins after mixing them in a vial.

Draw up the medications in separate syringes.

Draw up the NPH insulin last.

Answer and Explanation

The Correct Answer is A

Choice A rationale
When a patient is administering both regular insulin and NPH insulin, it’s important to draw up the regular insulin first. This is because regular insulin is clear and NPH insulin is cloudy. If the NPH (cloudy) insulin were drawn up into the syringe first, it could contaminate the regular (clear) insulin when drawing it up second. This could affect the action of the regular insulin, which is meant to be fast-acting.
Choice B rationale
Mixing insulins in a vial before drawing them up is not recommended. This could lead to inaccurate dosing and potential contamination of one or both vials. It’s safer and more accurate to draw up each type of insulin separately into the syringe.
Choice C rationale
While it’s possible to administer insulin using separate syringes, it’s usually not necessary and can be more cumbersome for the patient. As long as the patient is careful to avoid contaminating the insulins and to draw them up in the correct order (regular before NPH), they can be administered together in the same syringe.
Choice D rationale
Drawing up the NPH insulin last is not correct. As mentioned earlier, the regular insulin should be drawn up first to avoid contaminating it with the NPH insulin.

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Correct Answer is A

Explanation

Choice A rationale
Amoxicillin is a type of penicillin, and if a client has had a rash or any other allergic reaction to penicillin in the past, it’s possible they could have a similar reaction to amoxicillin. Therefore, the nurse should discuss with the provider the possibility of using a different antibiotic. This is important because allergic reactions to antibiotics can be severe and even life-threatening.
Choice B rationale
Administering the amoxicillin and keeping epinephrine on hand is not the best course of action. While epinephrine can be used to treat severe allergic reactions, it’s better to avoid the risk of an allergic reaction in the first place if possible.
Choice C rationale
Requesting the provider to prescribe an antihistamine would not address the potential for a serious allergic reaction to the amoxicillin. Antihistamines can help with mild allergic reactions, but they may not be sufficient for a severe reaction.
Choice D rationale
Asking for an order for a beta-lactamase resistant drug might not be necessary. Beta-lactamase resistant drugs are used to treat infections caused by bacteria that produce beta-lactamase, an enzyme that can break down and resist penicillins. However, the client’s allergy to penicillin does not necessarily mean that a beta-lactamase resistant drug is required.

A. Monitor blood pressure for hypertension during the infusion. B. Restrict fluids during vancomycin therapy. C. Infuse the drug over at least 1 hour. D. Discontinue the drug immediately if red man syndrome occurs.

Correct Answer is C

Explanation

Choice A rationale
Monitoring blood pressure for hypertension during the infusion is important, but it is not the primary measure to reduce complications with vancomycin administration3.
Choice B rationale
Restricting fluids during vancomycin therapy is not recommended. Adequate hydration is important when receiving vancomycin to prevent kidney damage3.
Choice C rationale
Infusing the drug over at least 1 hour is the most crucial measure to reduce complications that may occur with vancomycin administration. This is to prevent “red man syndrome,” a reaction that can cause flushing, rash, and hypotension3.
Choice D rationale
Discontinuing the drug immediately if red man syndrome occurs is not the primary measure. The infusion can often be slowed down or temporarily stopped to manage this reaction3.

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The nurse is teaching a patient about home administration of insulin. The patient will receive regular insulin and NPH insulin at 0700 every day. What is important to teach the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is about to give a client amoxicillin but discovers that the client had a rash when taking penicillin in the past. What should the nurse’s next step be?

Correct Answer is A

Explanation

The nurse is administering a vancomycin infusion. What measure should the nurse implement to reduce complications that may occur with this drug’s administration?

Correct Answer is C

Explanation

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The nurse is teaching a patient about home administration of insulin.

The patient will receive regular insulin and NPH insulin at 0700 every day. What is important to teach the patient?