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.

Answer and Explanation

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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Correct Answer is D

Explanation

D. Atenolol is a beta-blocker used to treat hypertension and lower heart rate. Given the client's low heart rate of 54 beats per minute (bradycardia), there is a potential concern about further lowering the heart rate with atenolol. Therefore, the nurse should consider withholding atenolol and consulting with the healthcare provider regarding the low heart rate before administering the medication.
A. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension.
B. Hydrochlorothiazide is a diuretic commonly used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension. Therefore, there is no immediate need to withhold hydrochlorothiazide based on the current blood pressure reading.
C. Aspirin is commonly used for cardiovascular protection in clients with hypertension. It is not typically withheld based on blood pressure readings alone unless there are other contraindications or concerns.

A. A school-age child who has rhinitis B. A client who is at 27 weeks of gestation C. An adolescent who received a new tattoo last week D. A client who is about to travel to a different country

Correct Answer is B

Explanation

B. Pregnant individuals should not receive the LAIV. It is recommended that pregnant individuals receive the inactivated influenza vaccine (IIV) instead. Therefore, this client has a contraindication to receiving the LAIV.
A. Rhinitis, or inflammation of the nasal passages, is not a contraindication to receiving the LAIV. In fact, LAIV may be preferred over the inactivated influenza vaccine (IIV) for individuals without contraindications between the ages of 2 and 49 years.
C. Recent receipt of a tattoo is not a contraindication to receiving the LAIV. While LAIV should generally not be administered to individuals with compromised immune systems, recent tattooing is not considered a contraindication.
D. Traveling to a different country is not a contraindication to receiving the LAIV. However, individuals with certain medical conditions or who are immunocompromised should not receive the LAIV.

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A nurse is preparing to administer regular and 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

Explanation

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Correct Answer is B

Explanation

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