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
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Related Questions
Correct Answer is D
Explanation
A. Fowler's position is a semi-sitting position typically used for respiratory or cardiac conditions, not for rectal suppository administration.
B. Dorsal recumbent position is lying on the back with knees flexed, which is used for genital exams or urinary catheterization, not for rectal suppository administration.
C. Prone position is lying face down, which is not suitable for rectal suppository administration.
D. Sim's position, lying on the left side with the right knee flexed, facilitates rectal suppository insertion and retention.
Correct Answer is C
Explanation
A. 50 mg is incorrect because the dose is specified in micrograms (mcg), not milligrams (mg).
B. 0.5 mg is incorrect; the correct conversion from micrograms (mcg) to milligrams (mg) is 0.05 mg.
C. 0.05 mg is correct as it accurately converts 50 mcg of levothyroxine to milligrams.
D. 500 mg is incorrect; it represents a much higher dose than the prescribed 50 mcg of levothyroxine.
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