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.
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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Related Questions
Correct Answer is A
Explanation
A. "We can discuss what you can expect during your stay."
This statement acknowledges the client's feelings of anxiety and offers support by indicating a willingness to discuss what they can expect during their stay. Providing information about the facility's routines, procedures, and what to expect can help alleviate anxiety by giving the client a sense of control and understanding. It also opens the door for the client to ask questions and express any concerns they may have.
B. "Most people are scared their first time in a health care facility":
While this statement attempts to normalize the client's feelings by suggesting that it is common to feel scared, it may not effectively address the client's individual concerns or provide reassurance. Additionally, some clients may not find comfort in knowing that others are also scared.
C. "You have nothing to worry about. Everything will be fine":
This statement may come across as dismissive of the client's feelings and does not acknowledge or validate their anxiety. It also makes assumptions about the client's experience and may not be accurate for all clients. Providing blanket reassurances without addressing the client's specific concerns may not be effective in alleviating their anxiety.
D. "Why are you feeling scared about being in this facility?":
While it is important for the nurse to explore the client's feelings and concerns, asking a direct question like this may put pressure on the client to articulate their anxiety without offering immediate support or reassurance. It is better to provide a statement that offers support and opens the door for the client to express their concerns in their own time and comfort level.
Correct Answer is ["A","C","E","F"]
Explanation
A. History of diabetes mellitus: This is correct. Diabetes mellitus can lead to delayed wound healing due to various factors, including impaired circulation, neuropathy, and compromised immune function.
B. Cholesterol level: While abnormal cholesterol levels can impact cardiovascular health, they are not directly linked to delayed wound healing unless they are part of a broader metabolic disorder or condition that affects vascular health.
C. Prealbumin level: Prealbumin is a marker of nutritional status. Low prealbumin levels can indicate malnutrition, which is a risk factor for delayed wound healing.
D. History of hyperlipidemia: Hyperlipidemia refers to high levels of fats (lipids) in the blood, such as cholesterol and triglycerides. While hyperlipidemia is associated with cardiovascular risk, it is not a direct risk factor for delayed wound healing unless it is part of a broader metabolic syndrome or condition affecting vascular health.
E. Mini Nutritional Assessment screening tool score: This is correct. The Mini Nutritional Assessment (MNA) screening tool assesses nutritional status, and a low score indicates malnutrition or nutritional deficiencies, which can contribute to delayed wound healing.
F. History of malnutrition: This is correct. Malnutrition, whether due to inadequate intake, absorption issues, or other factors, is a significant risk factor for delayed wound healing as it affects the body's ability to repair tissues and fight infection.
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