A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take?

Aspirate the injection after inserting the needle.

Inject the insulin 2.5 cm (1 in) from the client's naval.

Administer the insulin into a muscle.

Gently roll the insulin vial to mix.

Answer and Explanation

The Correct Answer is D

A. Aspiration is not necessary for subcutaneous insulin injections and is not recommended as it may cause unnecessary trauma.
B. Insulin injections should be administered subcutaneously, typically in the abdomen, but not specifically 2.5 cm from the navel.
C. Insulin injections are not administered into muscle but into the subcutaneous tissue.
D. NPH insulin should be gently rolled between the palms to mix evenly before administration to ensure the suspension is well-mixed.

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Correct Answer is C

Explanation

A. Nausea is a less common side effect of beclomethasone MDI and may not require immediate reporting unless severe or persistent.
B. Dry oral mucous membranes are a common side effect of beclomethasone MDI but may not require immediate reporting unless severe or persistent.
C. White coating in the mouth can be indicative of oral thrush, a fungal infection that can occur as an adverse effect of inhaled corticosteroids like beclomethasone MDI.
D. Tremors are a less common adverse effect of beclomethasone MDI.

A. Decreased temperature B. Weight gain C. Tachycardia D. Bradypnea

Correct Answer is C

Explanation

A. Decreased temperature is a symptom of hypothyroidism, not hyperthyroidism which would indicate an overdose of levothyroxine.
B. Weight gain is more commonly associated with hypothyroidism, not hyperthyroidism caused by an overdose of levothyroxine.
C. Tachycardia (rapid heart rate) is a classic sign of hyperthyroidism, which can occur if the client's dose of levothyroxine is too high.
D. Bradypnea (slow breathing) is not typically associated with thyroid hormone overdosage.

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A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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