The practical nurse (PN) is observing a client self-administering the noon dose of subcutaneous insulin. What step of the injection technique should the practical nurse (PN) reteach?
Selects the same site that was used for the previous injection.
Inserts the needle at a 90 degree angle to the skin surface.
Uses a circular action when applying an alcohol pad to the site.
Injects air into the insulin vial to displace the dose.
The Correct Answer is A
A. Selects the same site that was used for the previous injection: The PN should reteach this step because insulin injection sites must be rotated to prevent lipohypertrophy and uneven absorption. Repeated use of the same site can lead to tissue thickening, altered insulin uptake, and unpredictable glucose control.
B. Inserts the needle at a 90 degree angle to the skin surface: A 90-degree angle is appropriate for most adults using short insulin needles, ensuring proper subcutaneous delivery. The angle may be adjusted only for very thin clients or when using longer needles.
C. Uses a circular action when applying an alcohol pad to the site: Cleaning the site in a circular motion from the center outward helps reduce bacterial contamination before injection. This technique is correct and should continue to be reinforced.
D. Injects air into the insulin vial to displace the dose: Injecting air equal to the insulin dose into the vial helps maintain pressure balance and ensures accurate dose withdrawal. This is a proper and necessary step in insulin preparation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Observe the progression of the seizure: Monitoring the duration, type of movements, and body areas involved provides essential information for evaluating the seizure and planning treatment. Accurate observation helps guide postictal assessment and physician reporting.
B. Hold the extremities close to the body: Restricting movement during a seizure can cause musculoskeletal injury or increase agitation. The PN should instead ensure the child’s safety by allowing free movement within a protected area.
C. Pad the side rails with pillows: Padding the side rails prevents injury from hitting hard surfaces during convulsions. It is a standard safety measure when caring for clients at risk for seizures.
D. Insert a tongue blade between the teeth: Forcing any object into the mouth during a seizure can cause oral trauma, broken teeth, or airway obstruction. Nothing should be inserted into the child’s mouth while seizing.
E. Loosen clothing around the neck: Loosening tight clothing helps maintain airway patency and reduces the risk of restricted breathing during seizure activity.
Correct Answer is D
Explanation
A. Place a pre-moistened dressing on the stomal site: Applying a dressing over the stoma without further assessment may interfere with visualization and proper cleaning, and it does not address the source of the minor bleeding observed during care.
B. Apply firm pressure with a dry gauze to the stoma: Applying pressure directly to the stoma can cause trauma and worsen bleeding. Gentle handling is essential, as minor oozing is common due to the stoma’s vascular nature.
C. Stop the stomal care and notify the healthcare provider: Notifying the provider is important if bleeding is significant or persistent, but minor bleeding from the stoma during routine care is usually expected. Immediate cessation is not necessary unless there is active hemorrhage.
D. Continue to clean around the skin surrounding the stomal site: Minor bleeding is common because the stoma tissue is highly vascular. The PN should proceed with gentle cleaning to maintain skin integrity and complete proper stoma care, documenting the observation and monitoring for any increase in bleeding.
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