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 ["A","D","E"]

Explanation

A. Constipation is also a possible side effect due to the anticholinergic properties of the medication.
B. Skin rash is not a common adverse reaction to diphenhydramine.
C. Non-productive cough is not typically associated with diphenhydramine use.
D. Drowsiness is a common side effect of diphenhydramine and should be monitored, especially regarding its impact on daily activities.
E. Dry mouth is a common side effect of diphenhydramine due to its anticholinergic properties, and clients should be advised to maintain adequate hydration.

A. At the time of documentation B. In the area where the nurse obtained the medication C. In the nurses' station while reviewing the provider's prescription D. At the client's bedside before administration

Correct Answer is D

Explanation

A. Performing the final medication check at the time of documentation may result in errors if there are discrepancies between the prescription and what is documented.
B. Checking the medication in the area where it was obtained may not ensure accuracy regarding patient identity, dose, or route before administration.
C. Reviewing the provider's prescription at the nurses' station is important but should not replace the final bedside check immediately before administration.
D. Performing the final medication check at the client's bedside ensures accuracy and patient safety by verifying the correct medication, dose, route, and patient identity directly before administration.

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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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Correct Answer is D

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