A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes.

At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

0715.

0800.

0900.

1000.

Answer and Explanation

The Correct Answer is D

NPH insulin is an intermediate-acting insulin that typically starts to work within 1 to 2 hours after injection.
The nurse should observe for hypoglycemia caused by the onset of the medication around 3 hours after administration, which would be around 1000.
Choice A is not correct because it is too soon after administration for the onset of the medication.
Choice B is not correct because it is still too soon after administration for the onset of the medication.
Choice C is not correct because it is still too soon after administration for the onset of the medication.

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Correct Answer is A

Explanation

The nurse should inform the charge nurse about her suspicion.
The charge nurse is responsible for managing the unit and can take appropriate action to investigate the matter and ensure that proper procedures are followed.
Choice B is incorrect because reporting the incident to the hospital security department is not the first step that should be taken.
The charge nurse should be informed first and can then decide if further action, such as involving the security department, is necessary.
Choice C is incorrect because it is not appropriate for the nurse to ask assistant personnel (AP) to observe the other nurse’s actions.
This could create a hostile work environment and may not be an effective way to address the issue.
Choice D is incorrect because approaching the other nurse directly to discuss the suspicion may not be the best course of action.
It could create tension and conflict between the two nurses and may not lead to a resolution of the issue.
Instead, informing the charge nurse allows for proper procedures to be followed in addressing the matter.

Correct Answer is ["1"]

Explanation

The physician has ordered a total of 2 g/day of vancomycin hydrochloride to be taken in 4 divided doses.

This means that each dose should be 2 g/day ÷ 4 = 0.5 g/dose.

Since the pharmacy has filled the prescription with 500 mg capsules, and 500 mg is equivalent to 0.5 g, the client should take 1 capsule per dose.

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A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

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Naxlex Comprehensive Predictor Exams

A nurse suspects that another nurse on the unit is removing a small amount of morphine from the syringe before administering the medication to the client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

The physician orders vancomycin hydrochloride 2 g/day by mouth in 4 divided doses. The pharmacy fills the client's prescription with 500 mg vancomycin hydrochloride capsules. The nurse should instruct the client to take______capsule(s) per dose.

Correct Answer is ["1"]

Explanation

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A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes.

At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?