A nurse is administering a dose of insulin to a patient. To practice nursing safely and effectively, the nurse should:

Give the drug before a meal.

Confirm with the patient the site of the last injection.

Inject the insulin in the deltoid muscle.

Have another licensed nurse double-check the dose.

Answer and Explanation

The Correct Answer is D

Choice A reason: Administering insulin at proper timing correlates with mealtimes. However, this alone doesn't ensure safe practice.

Choice B reason: Confirming the injection site prevents lipodystrophy but does not address dose accuracy, which is vital for safety.

Choice C reason: Insulin is injected subcutaneously, not in the deltoid muscle. Using incorrect sites disrupts absorption.

Choice D reason: Double-checking insulin dose prevents administration errors, ensuring compliance with medication safety protocols.

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Correct Answer is D

Explanation

Choice A reason: Vastus lateralis is muscle; insulin given intramuscularly absorbs too fast, risking hypoglycemia, unlike the slower, safer subcutaneous route intended.

Choice B reason: Deltoid is also muscle; subcutaneous insulin isn’t given here as it’s not fatty enough, leading to unpredictable absorption rates versus abdominal tissue.

Choice C reason: Intravenous line is for IV drugs; insulin via IV is rare and only in emergencies, not standard subcutaneous orders, risking rapid overdose effects.

Choice D reason: Abdominal fat is ideal for subcutaneous insulin; it ensures steady absorption into capillaries, maintaining glycemic control per pharmacokinetic principles.

A. After showing the drug label to the client B. Before returning the drug container to the client’s medication drawer C. Before calling the pharmacy D. After checking the drug container with a colleague

Correct Answer is B

Explanation

Choice A reason: Showing the client isn’t a standard check; patients don’t verify MAR, and this step lacks relevance to the nurse’s triple-check safety protocol.

Choice B reason: Checking before returning ensures accuracy; the third check confirms the right drug post-administration, completing the three-point verification process safely.

Choice C reason: Calling the pharmacy is unrelated; label checks occur during administration, not external consultation, making this an irrelevant timing option.

Choice D reason: Colleague checks aren’t routine; the three checks are individual, and this step doesn’t align with standard MAR verification timing protocols.

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A nurse is administering a dose of insulin to a patient. To practice nursing safely and effectively, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?

Correct Answer is D

Explanation

When administering a medication, a nurse should check the label on the drug container against the MAR when removing the drug container from the client's medication drawer, when removing the drug from the medication container, and:

Correct Answer is B

Explanation

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