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A nurse is mixing NPH insulin and regular insulin prior to administration. Which of the following actions should the nurse take first?

Inject air into the vial with regular insulin in it.

Draw up the NPH insulin dose.

Inject air into the vial with NPH insulin in it.

Draw up the regular insulin dose.

Answer and Explanation

The Correct Answer is C

Answer: C

Rationale:

A) Inject air into the vial with regular insulin in it:

Injecting air into the vial of regular insulin is part of the correct procedure but not the initial step. This action is typically performed after the NPH insulin vial has been handled, as part of the process to prevent contamination and maintain the correct insulin types.

B) Draw up the NPH insulin dose:

Drawing up the NPH insulin dose should follow the initial steps of air injection. It is important to manage the insulin types in the correct sequence to ensure that the regular insulin remains uncontaminated by the NPH insulin.

C) Inject air into the vial with NPH insulin in it:

Injecting air into the NPH insulin vial first helps to equalize the pressure and avoid contamination when drawing up the insulin. This step is crucial to ensure that the NPH insulin is not inadvertently mixed with the regular insulin, maintaining the integrity of each type.

D) Draw up the regular insulin dose:

Drawing up the regular insulin dose should occur after air has been injected into both vials. This ensures that the NPH insulin is not drawn into the regular insulin syringe, which could affect the medication's efficacy.

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Correct Answer is C

Explanation

A. “Hematuria”: Hematuria, or blood in the urine, is not typically a sign of an allergic reaction. It could indicate a urinary tract infection, kidney disease, or other medical conditions, but it is not directly related to an allergic reaction to medication.

B. “Tremor”: While tremors can be a side effect of many medications, they are not typically a sign of an allergic reaction. Tremors are more commonly associated with neurological conditions or medications affecting the nervous system.

C. “Pruritus”: This is the correct answer. Pruritus, or itching, is a common symptom of an allergic reaction. If a client taking cefaclor develops pruritus, it could indicate an allergic reaction to the medication.

D. “Slurred speech”: Slurred speech is not typically a sign of an allergic reaction. It could indicate a neurological condition, such as a stroke, or could be a side effect of certain medications, but it is not directly related to an allergic reaction to medication.

A. A young adult who has an allergy to eggs B. An older adult client living in a long-term care facility C. A child who recently received the human papillomavirus vaccine D. A client who has AIDS

Correct Answer is D

Explanation

Answer: D. A client who has AIDS

A. A young adult who has an allergy to eggs
An egg allergy is not a contraindication for the varicella vaccine. The varicella vaccine is not produced using eggs, so an allergy to eggs does not pose a risk to clients receiving this immunization.

B. An older adult client living in a long-term care facility
An older adult in a long-term care facility can typically receive the varicella vaccine unless they have specific contraindications (e.g., immunosuppression). Age alone or residence in a long-term care facility is not a contraindication for the vaccine.

C. A child who recently received the human papillomavirus vaccine
Receiving the HPV vaccine does not contraindicate the varicella vaccine. Multiple vaccines can be administered in close succession or even on the same day, as long as the vaccines are indicated and there are no other contraindications.

D. A client who has AIDS
A client with AIDS has a compromised immune system due to the significant reduction in CD4 cell counts. The varicella vaccine is a live attenuated vaccine, and live vaccines are generally contraindicated for individuals with severe immunosuppression, such as those with AIDS, due to the risk of causing infection in immunocompromised individuals. Therefore, the nurse should not administer the varicella vaccine to a client with AIDS.

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A nurse is mixing NPH insulin and regular insulin prior to administration. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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