A nurse is preparing to administer insulin to a client with diabetes mellitus. The nurse draws up 10 units of regular insulin and 20 units of NPH insulin in the same syringe. Which of the following actions should the nurse take next?

Inject air into the NPH vial

Inject air into the regular vial

Withdraw NPH insulin from the vial

Withdraw regular insulin from the vial

Answer and Explanation

The Correct Answer is B

When mixing two types of insulin in one syringe, the nurse should follow the mnemonic RN or "regular before NPH". This means that the nurse should first inject air into the NPH vial, then inject air into the regular vial, then withdraw regular insulin from the vial, and finally withdraw NPH insulin from the vial. This order prevents contamination of the regular insulin with NPH insulin and ensures accurate dosing.

Incorrect choices:

a) Inject air into the NPH vial: This is correct, but it is not the next action. The nurse should inject air into the NPH vial before drawing up any insulin.

c) Withdraw NPH insulin from the vial: This is incorrect and can lead to a medication error. The nurse should withdraw NPH insulin after withdrawing regular insulin.

d) Withdraw regular insulin from the vial: This is correct, but it is not the next action. The nurse should inject air into the regular vial before withdrawing regular insulin.

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Correct Answer is A

Explanation

A. Increased respiratory rate: Naloxone is an opioid antagonist that rapidly reverses the effects of opioid overdose, including respiratory depression, sedation, and hypotension. The primary goal of naloxone administration is to restore adequate breathing by increasing the respiratory rate.

B. Decreased pain level:Naloxone reverses opioid effects, which means it can bring back pain that was previously managed by morphine. The client may experience increased pain, not a decrease.

C. Increased sedation:Naloxone reverses sedation, so the client is more likely to become alert and possibly agitated, rather than more sedated.

D. Decreased blood pressure: Morphine can cause hypotension, but naloxone reverses opioid-induced effects, which may result in a rise in blood pressure rather than a decrease.

A. Furosemide B. Calcium gluconate C. Sodium bicarbonate D. All of the above

Correct Answer is D

Explanation

All of the medications are used to treat hyperkalemia, which is a high level of potassium in the blood. Hyperkalemia can cause cardiac arrhythmias, muscle weakness, or paralysis.

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A nurse is preparing to administer insulin to a client with diabetes mellitus. The nurse draws up 10 units of regular insulin and 20 units of NPH insulin in the same syringe. Which of the following actions should the nurse take next?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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A nurse is preparing to administer insulin to a client with diabetes mellitus. The nurse draws up 10 units of regular insulin and 20 units of NPH insulin in the same syringe. Which of the following actions should the nurse take next?