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 D

Explanation

A. Asking the patient to use the bathroom is unrelated to the administration of nasal spray and is not necessary.
B. Instructing the patient to look up at the ceiling is not required for nasal spray administration and does not facilitate the process.
C. Asking the patient to take a deep breath is not directly related to the administration of nasal spray and does not affect its effectiveness.
D. Asking the patient to blow his/her nose to clear the nasal passages is important before administering nasal spray. Clearing nasal passages helps ensure that the medication can reach the nasal mucosa effectively, improving absorption and efficacy of the spray.

A. Ask the client to remain in a side-lying position with the affected ear down for several minutes after instillation. B. Pull the client's pinna down and back prior to instillation. C. Warm the medication to room temperature before administration. D. Press a cotton ball into the client's ear canal after instillation.

Correct Answer is C

Explanation

A. Asking the client to remain in a side-lying position comes after administering the drops to facilitate medication retention, but it's not the first action.
B. Pulling the client's pinna down and back straightens the ear canal, but this technique is used for children < 3years. For adults the pinna should be pulled upwards and outwards.
C. Warming the medication may not be necessary to prevent dizziness.
D. Placing a cotton ball in the ear canal after instillation is not necessary for otic medication administration and should not be done routinely.

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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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Correct Answer is C

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