What professional behaviour is most critical to promote safety in insulin administration?
Delegating the preparation of insulin to an unlicensed assistive personnel (UAP).
Drawing up insulin directly from a mixed vial without clarification.
Double-checking the insulin dose with another licensed nurse before administration.
Administering insulin without verifying the type of insulin ordered.
The Correct Answer is C
A. Delegating the preparation of insulin to an unlicensed assistive personnel (UAP): Delegating insulin preparation to a UAP is unsafe because insulin is a high-alert medication requiring licensed personnel to calculate and administer doses accurately. Delegation in this context increases the risk of dosing errors.
B. Drawing up insulin directly from a mixed vial without clarification: Drawing up insulin from a mixed vial without confirming the order or type can lead to administering the wrong insulin, incorrect dosing, or mixing incompatible insulins, all of which compromise patient safety.
C. Double-checking the insulin dose with another licensed nurse before administration: Verifying the insulin type and dose with a second licensed nurse ensures accuracy and minimizes the risk of medication errors. This practice is a critical safety measure for high-alert medications like insulin.
D. Administering insulin without verifying the type of insulin ordered: Administering insulin without checking the order can result in giving the wrong type, which can lead to hypoglycemia, hyperglycemia, or inadequate glycemic control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Apply the patch to the same site every day: Transdermal patches should be rotated to different skin sites to prevent irritation and allow the skin to recover. Applying to the same site repeatedly can cause local skin reactions or reduced absorption.
B. Avoid touching the adhesive side of the patch: Touching the adhesive side can transfer medication to the fingers, reduce the amount absorbed by the patient, and pose a risk of accidental exposure to others. Proper handling ensures the correct dose is delivered safely.
C. Cut the patch for a smaller dose if needed: Most transdermal patches are designed to deliver a fixed dose over time, and cutting the patch can compromise its delivery mechanism, leading to inaccurate dosing and potential harm.
D. Remove the patch after 2 hours to prevent overdose: Transdermal patches are intended to release medication over a prescribed duration, often 24 hours or longer. Removing it prematurely can reduce therapeutic effectiveness rather than prevent overdose.
Correct Answer is C
Explanation
A. 1 mg = 100 mcg: One milligram equals 1,000 micrograms, not 100. Using 100 would underestimate the dose by tenfold, potentially leading to medication errors.
B. 1 mcg = 1,000 mg: One microgram is much smaller than a milligram; 1 mcg equals 0.001 mg. This option greatly overstates the amount, which could result in dangerous dosing errors.
C. 1 mg = 1,000 mcg: One milligram is equal to 1,000 micrograms. This is the correct conversion and is essential for accurate medication calculations, particularly for drugs that require very small doses.
D. 1 mcg = 100 mg: One microgram is far smaller than a milligram; this option reverses the relationship and exaggerates the amount, which is unsafe for clinical dosing.
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