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Which combination of insulins should the nurse question if ordered by the provider?

Regular and Humulin N

Regular and Novolin N

Lantus and Humulin N

Humulin R and Novolin N

Answer and Explanation

The Correct Answer is C

A. Incorrect. Regular insulin (short-acting) and Humulin N (intermediate-acting) can be mixed.

B. Incorrect. Regular insulin and Novolin N are compatible.

C. Correct. Lantus (glargine) is a long-acting insulin that should never be mixed with other insulins.

D. Incorrect. Humulin R (short-acting) and Novolin N (intermediate-acting) can be mixed.

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Correct Answer is D

Explanation

A. Eat plenty of fresh fruits and vegetables. – Incorrect. Raw fruits and vegetables can harbor bacteria, increasing the risk of infection for a patient with neutropenia.

B. Take temperature weekly. – Incorrect. Patients with neutropenia should check their temperature daily, as fever may be the first sign of infection.

C. Perform mild exercise, such as gardening. – Incorrect. Gardening exposes the patient to soilborne fungi and bacteria, which can be harmful.

D. Avoid crowds. – Correct Answer. Neutropenic patients are highly susceptible to infections, so avoiding crowds helps reduce the risk of exposure to contagious illnesses.

A. Infuse the transfusion at a rate of 200 mL/hr. B. Check the patient's vital signs every hour during the transfusion. C. Leave the patient 5 minutes after beginning the transfusion. D. Flush the blood tubing with dextrose 5% in water.

Correct Answer is B

Explanation

A. Infuse the transfusion at a rate of 200 mL/hr. – Incorrect. The initial infusion should be slow (e.g., 75-100 mL/hr) to monitor for reactions.

B. Check the patient's vital signs every hour during the transfusion. – Correct Answer. Frequent monitoring is necessary to detect adverse reactions, such as fever or hypotension.

C. Leave the patient 5 minutes after beginning the transfusion. – Incorrect. The nurse should remain with the patient for the first 15 minutes, as most transfusion reactions occur early.

D. Flush the blood tubing with dextrose 5% in water. – Incorrect. Only normal saline should be used to flush blood tubing, as dextrose can cause hemolysis.

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Which combination of insulins should the nurse question if ordered by the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a patient who has neutropenia. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is preparing to initiate a transfusion of packed RBC for a patient who has anemia. Which of the following actions should the plan to nurse take?

Correct Answer is B

Explanation

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A patient has new onset type I diabetes mellitus and asks why they need to check their blood glucose level so often. The nurse explains frequent monitoring is necessary to keep the blood glucose level stable for which of the following reasons?

Which combination of insulins should the nurse question if ordered by the provider?

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