22. A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes. Identify the steps the nurse should take when preparing the two insulins. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Inject 10 units of air into the regular insulin vial.
Inject 20 units of air into the NPH insulin vial.
Withdraw 10 units of air from the regular insulin vial.
Withdraw 20 units of air from the NPH insulin vial.
The Correct Answer is B, A, D, C
1. Inject 10 units of air into the regular insulin vial.
Explanation: Similar to the NPH insulin vial, injecting air into the regular insulin vial creates positive pressure, facilitating the withdrawal of the correct dose of regular insulin.
2. Inject 20 units of air into the NPH insulin vial.
Explanation: This step ensures that there is positive pressure in the vial, making it easier to withdraw the desired dose of NPH insulin.
3. Withdraw 10 units of air from the regular insulin vial.
Explanation: Following the injection of air into the regular insulin vial, the nurse withdraws 10 units of regular insulin from the vial.
4. Withdraw 20 units of air from the NPH insulin vial.
Explanation: After injecting air into the NPH insulin vial, the nurse withdraws 20 units of NPH insulin from the vial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Report of decreased urinary output
Explanation: Decreased urinary output is not typically associated with hyperglycemia. In fact, increased urinary output (polyuria) is more characteristic.
B. Random blood glucose 126 mg/dL
Explanation: This level is within the normal range for random blood glucose. Hyperglycemia is usually defined by higher blood glucose levels.
C. Clammy skin
Explanation: Clammy skin is not a direct manifestation of hyperglycemia. Symptoms of hyperglycemia may include increased thirst, frequent urination, and blurred vision.
D. History of poor wound healing
Explanation: This is correct. Hyperglycemia can contribute to impaired wound healing, as it affects the body's ability to repair tissues.
Correct Answer is C
Explanation
A. Dry mucous membranes:
Explanation: Dry mucous membranes are not typically associated with hypoglycemia. Instead, they might be seen in conditions such as dehydration.
B. Fruity breath odor:
Explanation: Fruity breath odor is more commonly associated with diabetic ketoacidosis (DKA), which is a complication of hyperglycemia, not hypoglycemia.
C. Diaphoresis:
Explanation: Diaphoresis, or excessive sweating, is a common manifestation of hypoglycemia. It results from the activation of the sympathetic nervous system in response to low blood sugar levels.
D. Polyuria:
Explanation: Polyuria, or increased urination, is not a typical manifestation of hypoglycemia. It is more commonly associated with hyperglycemia and diabetes.
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