A nurse is caring for a client.
The nurse prepares to give 2 units of insulin lispro.
What should the nurse double-check with a second nurse? Select all that apply.
The Insulin concentration
The expiration date on the insulin vial
The site for the insulin administration
The dose of insulin drawn up in the syringe
The insulin vial for color and clarity
The type of insulin to be administered
The history and physical with the diabetes diagnosis listed
The sliding scale insulin lispro order.
Correct Answer : B,D,E,H
The nurse should double-check the following with a second nurse when preparing to give 2 units of insulin lispro:
B. The expiration date on the insulin vial: This is important to ensure that the insulin is not expired and is safe for administration.
D. The dose of insulin drawn up in the syringe: Double-checking the dose is crucial to avoid administration errors.
E. The insulin vial for color and clarity: Checking for any abnormalities in the insulin's appearance, such as cloudiness or particles, is essential to ensure its integrity.
H. The sliding scale insulin lispro order: Verifying the order against what is being administered is crucial to ensure that the correct dose is given based on the client's blood glucose level.
The other options (A, C, F, and G) may be important in different contexts but are not specifically related to double-checking the administration of 2 units of insulin lispro at this moment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Take with milk or antacids to prevent gastrointestinal (GI) irritation:
Tetracycline should not be taken with milk or antacids because these can bind to the medication and reduce its absorption. It is generally recommended to take tetracycline with a full glass of water on an empty stomach, unless otherwise instructed by the healthcare provider.
When providing instructions to a client prescribed tetracycline HCl, the nurse should include the following instruction:
B. Protect the skin from sunlight while taking the drug.
Explanation: Tetracycline antibiotics can make the skin more sensitive to sunlight (photosensitivity). Exposure to sunlight or ultraviolet (UV) rays can lead to severe sunburn reactions. Therefore, it is important for clients taking tetracycline to avoid prolonged exposure to direct sunlight and to use sunblock, protective clothing, and sunglasses when outdoors. This precaution helps prevent skin irritation and sunburn.
C. Return to the clinic weekly to obtain serum drug levels:
Routine monitoring of serum drug levels is not typically required for clients taking tetracycline. Monitoring may be necessary for other medications, but it is not a standard practice for tetracycline.
D. Take with orange juice to enhance GI absorption:
Like milk and antacids, taking tetracycline with orange juice can interfere with its absorption. It is generally recommended to take tetracycline with a full glass of water on an empty stomach for optimal absorption.
Correct Answer is D
Explanation
A. A warm room temperature:
The room temperature itself is not directly related to the effects of mydriatic medications, which primarily affect pupillary dilation and sensitivity to light.
B. A quiet, restful environment:
While a quiet environment can be beneficial for many clients, it is not specific to the needs of a client receiving a mydriatic medication.
C. Cool, humidified air:
The temperature or humidity of the air is not the primary concern when a client is on mydriatic medication. Reducing light exposure is the primary consideration.
The best environment for a client receiving a mydriatic medication is:
D. A dimly lit room.
Explanation: Mydriatic medications are drugs that cause pupil dilation. Pupil dilation results in increased sensitivity to light, which can lead to discomfort or glare when exposed to bright light. To minimize these effects and provide comfort to the client, it's best to place them in a dimly lit room where the intensity of the light is reduced.
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