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 ["22.5"]
Explanation
To administer the correct dose of potassium chloride, which is 30 mEq, when the available solution is 20 mEq in 15 mL, the nurse needs to calculate the volume of the solution to provide the required mEq. The calculation is as follows: (30 mEq / 20 mEq) x 15 mL = 22.5 mL.
Correct Answer is B
Explanation
A. Bringing the dropper from below the client's eye is incorrect as it increases the risk of contamination from the eyelashes.
B. Holding the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac allows for accurate instillation into the eye without touching the dropper tip to the eye or eyelashes.
C. Instilling drops into the inner canthus is incorrect; drops should be placed into the conjunctival sac to ensure proper absorption.
D. Asking the client to look down may help expose the lower conjunctival sac but is not the correct action for administering the drops.
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