A nurse is preparing to administer regular and NPH insulin to a client. Which of the following actions should the nurse take?
Mix the medications in a 3-mL syringe.
Inject air into the regular vial first.
Administer the medications in two separate syringes.
Withdraw the NPH insulin last.
The Correct Answer is D
D. Drawing the NPH last ensures that it does not contaminate the short acting insulin. The regular insulin should be drawn first.
A. Regular and NPH insulin should not be mixed together in a single syringe prior to administration. Mixing them could alter their action profiles and affect their effectiveness.
B. While injecting air into the vial before withdrawing medication helps prevent negative pressure and facilitates easy withdrawal of the medication, it should be done for each vial individually, not specifically for the regular insulin vial.
C. The medication should be drawn up into the same syringe before administration to the patient.
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Related Questions
Correct Answer is A
Explanation
A. Nystatin oral suspension is typically swished around the mouth before swallowing to ensure adequate coverage of affected areas, such as the oral mucosa. This helps to maximize the medication's contact with fungal infections in the mouth.
B. This instruction is not necessary for nystatin oral suspension. Nystatin oral suspension can be taken with or without food, as directed by the healthcare provider. Therefore, there is no specific requirement to take it with meals.
C. This instruction is not necessary for nystatin oral suspension. Using a straw is not typically recommended for taking oral medications unless specifically instructed by a healthcare provider. Therefore, this instruction is not relevant to the administration of nystatin oral suspension.
D. This instruction is not necessary for nystatin oral suspension. While drinking water after taking medication is generally a good practice to ensure proper swallowing and hydration, it is not specifically required for nystatin oral suspension.
Correct Answer is B
Explanation
B. Acetylcysteine, also known as N-acetylcysteine (NAC), is the antidote for acetaminophen overdose. It works by replenishing depleted glutathione stores in the liver and preventing or reversing hepatotoxicity caused by acetaminophen overdose. Acetylcysteine should be administered as soon as possible after an acetaminophen overdose to maximize its effectiveness in preventing liver damage.
A. Monitoring amylase and lipase levels is not directly related to acetaminophen overdose. Amylase and lipase are pancreatic enzymes that are typically monitored to assess pancreatic function and diagnose conditions such as pancreatitis.
C. Obtaining a chest x-ray is not typically indicated for acetaminophen overdose. Acetaminophen overdose primarily affects the liver, and the manifestations are predominantly related to hepatotoxicity.
D. Naloxone is an opioid antagonist used to reverse opioid overdose by blocking opioid receptors. It is not indicated for acetaminophen overdose. Acetaminophen overdose does not involve opioid receptors, and naloxone would not be effective in treating acetaminophen toxicity.
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