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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer: C
A. Ensuring fluid and electrolyte balance is maintained is an important aspect of patient care but is not the primary reason for flushing the feeding tube between medications.
B. While giving the patient fluid intake is beneficial, the primary purpose of flushing the tube between medications is to prevent interactions between different medications.
C. Flushing the feeding tube with water between medication administrations helps prevent interactions between medications that may be incompatible, ensuring each medication is delivered effectively and safely.
D. This option is incorrect because flushing the tube between medications serves a specific purpose related to medication administration and safety.
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.
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