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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Walk for 30 minutes three to five times each week."
Regular weight-bearing exercises, such as walking, are beneficial for maintaining bone density and reducing the risk of osteoporosis. Walking for 30 minutes three to five times per week can help strengthen bones, improve balance, and reduce the risk of fractures associated with osteoporosis.
B. "Perform water aerobics three times each week": While water aerobics is a beneficial form of exercise for overall health and fitness, it may not be as effective as weight-bearing exercises like walking for preventing osteoporosis. Water-based activities do not provide the same impact on bone density as weight-bearing exercises.
C. "Maintain a lean body mass": While maintaining a healthy body weight is important for overall health, particularly for reducing the risk of conditions like heart disease and diabetes, it may not specifically prevent osteoporosis. In fact, having a low body weight or being underweight can increase the risk of osteoporosis.
D. "Increase intake of vitamin B12": Vitamin B12 is important for various bodily functions, including nerve function and the formation of red blood cells, but it is not directly linked to the prevention of osteoporosis. Adequate calcium and vitamin D intake, along with weight-bearing exercise, are key factors in preventing osteoporosis.
Correct Answer is ["B","C","F","G"]
Explanation
A. Antibiotic medication can be taken with or without food.
This statement is not specifically relevant to the discharge teaching for this client with pneumonia. However, the nurse should provide specific instructions regarding the administration of the antibiotic (cefazolin), which is typically administered intravenously in a healthcare setting and may not be taken orally at home.
B. The steroid dose will decrease each day.
Explanation: This information ensures that the client and caregiver are aware of the tapering regimen for the steroid medication (prednisone), which is essential to prevent adrenal insufficiency and other potential adverse effects associated with abrupt discontinuation.
C. Adjust the oxygen flow rate as needed to ease breathing.
Explanation: This information educates the client and caregiver on how to manage oxygen therapy effectively at home, ensuring optimal oxygen delivery and respiratory support.
D. Antibiotic therapy should be taken for 10 days.
The duration of antibiotic therapy for pneumonia depends on the specific antibiotic prescribed and the severity of the infection. The nurse should provide clear instructions based on the healthcare provider's prescription and guidelines.
E. Store the oxygen cylinder wrench with the oxygen tank.
While storing the oxygen cylinder wrench with the oxygen tank is a good practice, it is not directly related to discharge teaching for this client with pneumonia.
F. Steroid medication should be taken in the morning.
Explanation: Taking steroid medication (prednisone) in the morning helps minimize disruption of the body's natural cortisol rhythm and reduces the risk of insomnia associated with steroid use.
G. Ensure the oxygen delivery system is at least 8 feet from any heat source.
Explanation: Proper storage and placement of the oxygen delivery system reduce the risk of fire hazards associated with oxygen therapy, promoting safety within the home environment.
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