A nurse is planning to administer insulin to a client who has type 1 diabetes mellitus, what action should the nurse perform first?

Administer the client's insulin dose using a tuberculin syringe.

Use a filter needle when withdrawing medication from the multidose vial.

Verify the dose of insulin with another nurse once it is prepared.

Mix the client's long-acting and rapid-acting insulin dose in one syringe.

Answer and Explanation

The Correct Answer is C

A. Administer the client's insulin dose using a tuberculin syringe:

While using an appropriate syringe for insulin administration is important, ensuring the accuracy of the dosage precedes the actual administration. Therefore, verifying the dose takes precedence over selecting the syringe.

B. Use a filter needle when withdrawing medication from the multidose vial:

While using a filter needle can be beneficial to prevent contamination, ensuring the correct dosage is more critical in preventing adverse effects associated with incorrect insulin administration.

C. Verify the dose of insulin with another nurse once it is prepared.

Before administering insulin to a client with type 1 diabetes, it is essential to ensure accuracy in dosage. Verifying the dose with another nurse helps minimize the risk of errors, ensuring the client receives the correct amount of insulin. This step aligns with the principle of double-checking medications for safety, especially in critical situations like insulin administration.

D. Mix the client's long-acting and rapid-acting insulin dose in one syringe:

Mixing different types of insulin in one syringe is not standard practice unless specifically instructed by a healthcare provider. This step should be performed only if explicitly ordered an

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Correct Answer is A

Explanation

A. Client care provider

In this scenario, the nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client to ensure client safety. By directly overseeing the procedure and providing guidance, feedback, and support, the nurse manager is assuming the role of a client care provider. This role involves ensuring that nursing care is delivered effectively and safely, especially when orienting or supervising new staff members.

B. Client educator:

While client education is important in nursing practice, the nurse manager's primary role in this scenario is not to educate the client but rather to observe and supervise the newly licensed nurse performing a procedure.

C. Client advocate:

Although advocating for client safety is a fundamental aspect of nursing practice, in this specific scenario, the nurse manager is more directly involved in overseeing the procedural skill of the newly licensed nurse rather than advocating for the client's rights or needs.

D. Case manager:

A case manager typically coordinates and manages the overall care of clients, including planning and arranging services. However, in this scenario, the nurse manager's role is focused on directly observing and supervising a specific nursing procedure rather than coordinating broader aspects of the client's care.

A. Ensure that the client's bed is in the lowest position. B. Assess skin temperature and color before applying the restraints. C. Attach the client's restraints toe bed rail. D. Pad bony prominences before applying the restraints. E. Secure restraints to allow three fingers to slide under the restraints

Correct Answer is ["A","B","D"]

Explanation

A. Ensure that the client's bed is in the lowest position.

Keeping the bed in the lowest position helps prevent injury if the client tries to get out of bed, especially when restrained.

B. Assess skin temperature and color before applying the restraints.

This action ensures proper circulation and skin integrity while the restraints are in use. It helps prevent skin breakdown and injury.

C. Attach the client's restraints to the bed rail.

Attaching restraints to the bed rail is not considered a best practice as it can increase the risk of injury to the client. Restraints should be secured to the bed frame or another stable part of the bed to minimize the risk of harm.

D. Pad bony prominences before applying the restraints.

Padding bony prominences such as elbows and wrists helps prevent pressure ulcers and discomfort caused by the restraints.

E. Secure restraints to allow three fingers to slide under the restraints.

Restraints should be secured to allow only two fingers to slide under the restraints to ensure they are not too loose or too tight.

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A nurse is planning to administer insulin to a client who has type 1 diabetes mellitus, what action should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client, in which of the following roles is the nurse manager functioning?

Correct Answer is A

Explanation

A nurse is planning care for a client who has a prescription for extremity restraints to both wrists. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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