A nurse is preparing to administer heparin subcutaneously to a client.

Which of the following is an appropriate action by the nurse?

Use a 1-inch needle to inject the medication.

Use a 22-gauge needle to inject the medication.

Massage the injection site after administration of the medication.

Inject the medication into the abdomen above the level of the iliac crest.

Answer and Explanation

The Correct Answer is D

“Inject the medication into the abdomen above the level of the iliac crest.” When administering heparin subcutaneously, it is appropriate to inject the medication into the abdomen above the level of the iliac crest 1.
Choice A is not correct because a 1-inch needle may be too long for subcutaneous injection.
A shorter needle, such as a 3/8 to 5/8 inch needle, is typically used for subcutaneous injections.
Choice B is not correct because a 22-gauge needle may be too large for subcutaneous injection.
A smaller gauge needle, such as a 25- or 27-gauge needle, is typically used for subcutaneous injections.
Choice C is not correct because massaging the injection site after administering heparin can increase the risk of bruising and should be avoided.

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Correct Answer is A

Explanation

The client’s symptoms of confusion, flushed appearance, and acetone odor on their breath suggest that they may be experiencing diabetic ketoacidosis (DKA), a serious complication of diabetes that occurs when the body produces high levels of ketones.
Treatment for DKA typically involves administering intravenous fluids and insulin to lower blood sugar levels and suppress ketone production 1.
Regular insulin is a fast-acting insulin that can be given intravenously to quickly lower blood sugar levels 1.
Choice B is incorrect because NPH insulin is an intermediate-acting insulin that takes longer to start working and would not be appropriate for treating DKA.
Choice C is incorrect because lispro insulin is a rapid-acting insulin but it is not typically given intravenously.
Choice D is incorrect because glargine insulin is a long-acting insulin that takes several hours to start working and would not be appropriate for treating DKA.

A. Grapefruit. B. Spinach. C. Broccoli. D. Carrots.

Correct Answer is A

Explanation

The nurse should instruct the patient to avoid taking verapamil with grapefruit.
Studies have demonstrated an interaction between verapamil and grapefruit juice, which is likely due to an inhibition of intestinal metabolism resulting in increased oral bioavailability1.
This means that grapefruit can interfere with the enzymes that break down verapamil in your digestive system, potentially leading to dangerous health problems2.
Choices B, C, and D are incorrect because there is no known interaction between verapamil and spinach, broccoli, or carrots.

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A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on their breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client.

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a patient who has hypertension and a new prescription for verapamil. The nurse should instruct the patient to avoid taking this medication with which of the following foods?

Correct Answer is A

Explanation

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A nurse is preparing to administer heparin subcutaneously to a client.

Which of the following is an appropriate action by the nurse?