A nurse is preparing to mix NPH insulin and regular insulin for administration.
Which of the following actions should the nurse take?

Use a tuberculin syringe.

Inject air into each vial.

Withdraw the NPH insulin first.

Shake the regular insulin vial.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

While a tuberculin syringe can be used for insulin administration, it’s not necessary when mixing NPH and regular insulin. Insulin syringes are typically used for this purpose.

Choice B rationale:

Injecting air into each vial before withdrawing insulin helps equalize pressure and makes it easier to draw up the insulin. This should be done before withdrawing any insulin.

Choice C rationale:

Withdrawing NPH insulin first contradicts the standard practice of drawing up insulins. The usual recommendation is to draw up short-acting (regular) insulin before intermediate-acting (NPH) insulin.

Choice D rationale:

Shaking the regular insulin vial is unnecessary and could potentially create bubbles, making it harder to draw up the correct dose of insulin.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:

Donepezil is a medication used to treat symptoms of Alzheimer’s disease and does not typically cause urinary retention.

Choice B rationale:

Scopolamine, an anticholinergic drug, can cause urinary retention. Anticholinergic drugs block the action of acetylcholine, a neurotransmitter that helps to contract the bladder muscles and relax the urinary sphincters to allow urination.

Choice C rationale:

Metoprolol is a beta-blocker used to treat high blood pressure and heart problems. It does not typically cause urinary retention.

Choice D rationale:

Acetaminophen is a common over-the-counter pain reliever and does not typically cause urinary retention.

A. "I will inform your provider so she can prescribe a different medication.” B. "You will need to take this medication on an empty stomach for it to be more effective.” C. "You will need to wait a couple of weeks to feel the therapeutic effect of the medication.” D. "I will ask your provider to increase the dose of the medication.”

Correct Answer is C

Explanation

Choice A rationale:

While it’s important for the provider to be informed if the medication isn’t working, it’s premature to change the medication after only 6 days.

Choice B rationale:

Amitriptyline does not need to be taken on an empty stomach to be effective.

Choice C rationale:

Amitriptyline, a tricyclic antidepressant, often takes several weeks before a therapeutic effect is felt.

Choice D rationale:

Increasing the dose prematurely can lead to unnecessary side effects. It’s better to wait for the medication to take effect.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is preparing to mix NPH insulin and regular insulin for administration.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication history of a client who reports urinary retention.The nurse should recognize that which of the following medications can cause this adverse reaction?

Correct Answer is B

Explanation

A nurse is caring for a client who started taking amitriptyline 6 days ago.The client reports that the medication is not helping.Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa.Which of the following statements made by the client's family indicates an understanding of the teaching?

A nurse who is preparing to administer medications to a client is unfamiliar with a medication that the client takes at home.Which of the following resources should the nurse consult?

A nurse is administering the first dose of ramipril to a client who has hypertension.The client reports feeling dizzy and lightheaded.Which of the following should the nurse administer?

A nurse is talking with a client who has been taking levothyroxine to treat hypothyroidism.The nurse should instruct the client to avoid taking which of the following over-the-counter medications within 4 hr of taking levothyroxine?

A nurse working in an urgent care clinic is collecting data from a client who takes montelukast.Which of the following is an expected therapeutic effect of this medication?

A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication.Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?

A nurse is preparing to identify a client prior to medication administration. Which of the following questions should the nurse ask to determine the client's identity?

A nurse is collecting data from a client who has a new prescription for amoxicillin.Which of the following findings indicates that the client is having an allergic reaction to the medication?

A nurse is preparing to mix NPH insulin and regular insulin for administration.
Which of the following actions should the nurse take?