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.
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A-Injection of air ensures that the accurate dose is withdrawn into the syringe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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Nitroprusside is a systemic vasodilator that lowers blood pressure. It is used in emergency set ups to lower blood pressure in clients with hypertensive crises. It can also lower the blood pressure to cause hypotension and the blood pressure should be monitored closely.
B-Stroke volume is not directly affected by nitroprusside
C-Cardiac output is not directly affected by nitroprusside
D-Urine output changes can occur due to hypotension but not as a direct effect of nitroprusside
Correct Answer is B
Explanation
Propofol causes positive modulation of the inhibitory function of the neurotransmitter gamma-aminobutyric acid (GABA) through GABA-A receptors. It also enhances GABA's effects leads to increased chloride influx into neurons, causing hyperpolarization and decreased neuronal activity. This results in the sedative and hypnotic effects for which propofol is used during anesthesia. Propofol can cause respiratory depression when levels in the blood are high and hence respiratory rate should be monitored closely
A-Propofol is likely to cause bradycardia due to depression of central cardiac centers
C-Propofol has no effect on bowel function
D-Propofol can cause hypothermia when used in anesthesia but not as critical as respiratory depression
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