A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

Inject air into the vial to withdraw the short-acting insulin.

Administer the insulin within 20 min of preparing it.

Ensure the NPH insulin is drawn into the syringe first.

use two separate syringes to mix the insulin.

Answer and Explanation

The Correct Answer is A

A-Injection of air ensures that the accurate dose is withdrawn into the syringe

B-It is not necessary to administer within 20 min, it should, however, be administered within 24 hours.

C-Short-acting insulin should be drawn first to ensure that the short-acting insulin is not contaminated with the long-acting or intermediate one.

D- Insulin types can be mixed in the same syringe, provided the short-acting insulin is drawn up first.

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Correct Answer is A

Explanation

The air bubble should not be expelled from the syringe or aspirate. The air bubble in the syringe of enoxaparin is intended to remain to ensure the full dose of medication is administered.

B-Avoid rubbing a sit may increase the risk of bleeding /irritation

C-The injection is made into the anterolateral or posterolateral aspect of the thigh

D-The skin should not be released before injection as the medication may be injected into the muscle

A. The client will administer insulin glargine before each meal. B. The client will use the deltoid muscle as an injection site. C. The client will take an additional dose of insulin glargine prior to exercise. D. The client will wear his reading glasses when drawing up a dose of insulin glargine.

Correct Answer is D

Explanation

Use of glasses in visual problems in the elderly avoid errors such as overdose. The use of insulin requires accurate visualization because overdosing the medication may lower the blood sugar levels too low leading to severe neuroglycopenic features or even death.

A- Long acting insulins like glargine are used as a basal insulin given once a day

B- The subcutaneous tissue is preferred

C- Insulin glargine is not added before exercise

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A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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