A nurse is preparing to mix short-acting and intermediate-acting insulin in one syringe to administer to a client who has type 1 diabetes mellitus. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Draw up a volume of air equal to the volume of insulin from the intermediate-acting insulin vial.

Inject the volume of air equal to the amount of insulin to withdraw from the intermediate-acting insulin vial.

Inject the volume of air equal to the insulin dose from the short- acting insulin vial.

Withdraw the prescribed amount of insulin from the short-acting insulin vial.

Withdraw the prescribed amount of insulin from the intermediate-acting insulin vial.

Answer and Explanation

The Correct Answer is A,C,D,B,E

A. Draw up a volume of air equal to the volume of insulin from the intermediate-acting insulin vial. Air is first drawn into the syringe for the intermediate-acting insulin to prevent creating a vacuum when withdrawing it later.

C. Inject the volume of air equal to the insulin dose from the short-acting insulin vial. Injecting air into the short-acting vial prevents vacuum formation and makes withdrawal easier.

D. Withdraw the prescribed amount of insulin from the short-acting insulin vial. The short-acting insulin is withdrawn first to avoid contaminating it with intermediate-acting insulin.

B. Inject the volume of air equal to the amount of insulin to withdraw from the intermediate-acting insulin vial. Air is injected into the intermediate-acting vial before withdrawal to facilitate drawing up the insulin.

E. Withdraw the prescribed amount of insulin from the intermediate-acting insulin vial. Finally, the intermediate-acting insulin is withdrawn, completing the mixture in the syringe.

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Free Nursing Study Resources

Correct Answer is A

Explanation

The pressure–volume loop shows a "beaking" pattern (upper inflection point, where the loop flattens and bends back). This indicates overdistention of the alveoli from excessive tidal volume or high inspiratory pressure. The flow–volume loop shows a scooped-out appearance during expiration, which is typical of airflow obstruction such as COPD or asthma. These loops are most consistent with obstructive lung disease with overdistention such as in COPD.

A. Establish the client's learning needs. B. Determine the client's literacy level. C. Evaluate the client's readiness for learning. D. Verify the client's computer access. E. Identify the client's learning style.

Correct Answer is ["A","B","C","E"]

Explanation

A. Establish the client's learning needs: Identifying what the client needs to know about managing type 2 diabetes is essential for creating a focused and effective teaching plan. This ensures the teaching is relevant and addresses gaps in knowledge.

B. Determine the client's literacy level: Assessing literacy helps the nurse tailor educational materials and teaching methods so the client can understand instructions, especially when managing medications, diet, and blood glucose monitoring.

C. Evaluate the client's readiness for learning: Readiness includes emotional, cognitive, and physical factors. A client who is stressed, anxious, or fatigued may not retain information effectively, making this assessment crucial before teaching.

D. Verify the client's computer access: While useful for online education, access to technology is not a prerequisite for general diabetes teaching. Education can be provided through verbal instruction, print materials, or demonstrations.

E. Identify the client's learning style: Understanding whether the client learns best through visual, auditory, or kinesthetic methods allows the nurse to adapt teaching strategies, improving comprehension and retention of diabetes self-management skills.

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Naxlex Comprehensive Predictor Exams

The following two graphic loops show which of the following conditions?

Correct Answer is A

Explanation

A nurse is planning teaching for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse take prior to performing the teaching? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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