A nurse is preparing to administer insulin to a client who has diabetes mellitus. The nurse notices that the insulin vial has a small amount of white precipitate at the bottom. Which of the following actions should the nurse take?

Discard the vial and obtain a new one.

Shake the vial vigorously until the precipitate dissolves.

Warm the vial in a microwave oven for a few seconds.

Roll the vial gently between the palms of both hands.

Answer and Explanation

The Correct Answer is D

A) This is incorrect because discarding the vial and obtaining a new one is not necessary actions for a vial of insulin that has a small amount of white precipitate at the bottom. This precipitate indicates that the insulin has crystallized due to cold storage or temperature changes, but it can be resuspended by gently rolling or rotating the vial.

B) This is incorrect because shaking the vial vigorously until the precipitate dissolves is not an appropriate action for a vial of insulin that has a small amount of white precipitate at the bottom. Shaking the vial may cause air bubbles or froth to form, which can affect the accuracy of the dose measurement and administration.

C) This is incorrect because warming the vial in a microwave oven for a few seconds is not a safe action for a vial of insulin that has a small amount of white precipitate at the bottom. Warming the vial in a microwave oven may cause uneven heating or damage to the insulin molecules, which can alter the potency and effectiveness of the medication.

D) This is correct because rolling the vial gently between the palms of both hands is the recommended action for a vial of insulin that has a small amount of white precipitate at the bottom. Rolling the vial gently helps to resuspend the insulin crystals and restore the uniform appearance of the solution.

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

Explanation

A) This is correct because using two client identifiers, such as name and date of birth, is a standard safety measure to ensure that the right medication is given to the right client.

B) This is correct because checking the expiration date of the medication before administering it is another safety measure to prevent giving expired or ineffective medications to clients.

C) This is correct because comparing the medication label with the prescription three times (before, during, and after preparing the medication) is a recommended practice to prevent errors such as wrong dose, wrong route, or wrong time.

D) This is incorrect because administering the medication as soon as possible after receiving it from the pharmacy may increase the risk of errors due to haste or distraction. The nurse should follow the prescribed schedule and administer the medication within a reasonable time frame.

E) This is incorrect because documenting the medication administration after completing other tasks may lead to forgetting or omitting important information. The nurse should document the medication administration as soon as possible after giving it to the client.

A. The client reports mild constipation B. The client's blood pressure remains within normal limits C. The client experiences an allergic reaction D. The client exhibits improved mood and increased energy

Correct Answer is C

Explanation

An allergic reaction to a newly administered medication can be a strong indicator of a medication error. It suggests that the client may have received a medication to which they are allergic or that they were given an incorrect dose or formulation of the medication. Allergic reactions require immediate intervention to prevent further harm.

Incorrect choices:

a) The client reports mild constipation: Mild constipation is a non-specific symptom that may or may not be related to a medication error. It can occur for various reasons, including dietary changes or side effects of the medication.

b) The client's blood pressure remains within normal limits: Blood pressure within normal limits does not necessarily indicate or rule out a medication error. It is important to assess for other specific signs and symptoms related to the medication.

d) The client exhibits improved mood and increased energy: Improved mood and increased energy are positive outcomes that may occur with the appropriate use of medication. They do not suggest a medication error unless accompanied by other concerning signs or symptoms.

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A nurse is preparing to administer insulin to a client who has diabetes mellitus. The nurse notices that the insulin vial has a small amount of white precipitate at the bottom. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication administration record of a client who has a history of medication errors. Which of the following actions should the nurse take to prevent medication errors? (Select all that apply.)

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

Explanation

A nurse suspects a medication error in a client who recently started a new medication. Which of the following assessments would support this suspicion?

Correct Answer is C

Explanation

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A nurse is preparing to administer insulin to a client who has diabetes mellitus. The nurse notices that the insulin vial has a small amount of white precipitate at the bottom. Which of the following actions should the nurse take?

A nurse is assessing a client for signs and symptoms of a medication error. Which of the following manifestations should the nurse be most concerned about?