Which of the following is a long-acting insulin?

Choice A reason: Heparin increases bleeding risk in thrombocytopenia, an unsafe intervention. Bleeding precautions protect the patient, making this incorrect, as it’s contraindicated compared to the nurse’s priority to minimize bleeding in a patient with low platelets.

Choice B reason: Bleeding precautions, like avoiding invasive procedures, protect thrombocytopenia patients from hemorrhage due to low platelets. This aligns with safety protocols, making it the correct intervention the nurse would prioritize to ensure the patient’s safety.

Choice C reason: Seizure precautions are irrelevant to thrombocytopenia, which causes bleeding, not seizures. Bleeding precautions are key, making this incorrect, as it’s unrelated to the nurse’s focus on preventing hemorrhage in the patient with low platelet counts.

Choice D reason: Strenuous exercise risks bleeding in thrombocytopenia, as trauma can cause hemorrhage. Bleeding precautions are essential, making this incorrect, as it’s unsafe compared to the nurse’s priority to protect the patient from bleeding complications.

Choice A reason: Assessing physical status identifies triggers like discomfort or illness causing Alzheimer’s behavior, enhancing safety. This aligns with patient-centered care, making it a correct intervention the nurse would use to maintain safety by addressing underlying causes of agitation or wandering.

Choice B reason: Keeping the door closed may trap the patient, increasing agitation, not safety. Covering IV lines reduces tampering, making this incorrect, as it’s less effective than the nurse’s focus on interventions that address behavior triggers in Alzheimer’s disease safely.

Choice C reason: Isolating the patient at the hall’s end ignores behavior causes and reduces monitoring, compromising safety. Pain assessment is better, making this incorrect, as it doesn’t align with the nurse’s goal of maintaining safety through active behavioral management in Alzheimer’s.

Choice D reason: Assessing for pain identifies treatable causes of agitation or resistance in Alzheimer’s, promoting safety. This aligns with behavioral management, making it a correct intervention the nurse would implement to reduce unsafe behaviors like pulling tubes or wandering off.

Choice E reason: Checking vital signs detects physiological changes contributing to Alzheimer’s behaviors, ensuring safety. This aligns with comprehensive assessment, making it a correct intervention the nurse would use to monitor and address factors increasing risks like yelling or resisting care.

Choice F reason: Wrist restraints increase agitation and risk injury in Alzheimer’s, reducing safety. Covering tubes is safer, making this incorrect, as it contradicts the nurse’s priority of using non-restrictive interventions to manage behavior and maintain safety in these patients.

Choice G reason: Covering IV lines or tubes reduces tampering by Alzheimer’s patients, enhancing safety without restraints. This aligns with environmental management, making it a correct intervention the nurse would implement to prevent unsafe behaviors like pulling dressings or tubes.