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A-Injection of air ensures that the accurate dose is withdrawn into the syringe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

Propranolol is a beta-blocker agent that is used to block beta adrenoceptors on blood vessels that leads to lower the heart rate. It used in clients with hypertension and heart failure. However, a heart rate below 60/min is alarming as the client is likely to develop symptoms of reduced perfusion such as fatigue

Spo2 of 95% and a respiratory rate of 22 are okay and not related to propranolol unless the client is asthmatic

D-A blood pressure of 106/68 is normal and requires no intervention

A. "This medication will not interfere with the effectiveness of oral contraceptives." B. "You should take this medication once each day at bedtime." C. 'You can continue to wear soft contact lenses while taking this medication." D. 'Your urine will turn orange while you are taking this medication."

Correct Answer is D

Explanation

Rifampin, an antibiotic used to treat bacterial infections, can cause a reddish-orange discoloration of body fluids, including urine. This color change is due to the presence of rifampin metabolites, which are eliminated through the urine. The discoloration is a harmless side effect and is considered normal while taking the medication. It causes decreased effectiveness of oral contraceptives

A- Rifampin is an enzyme inducer that increases the rate of metabolism of oral contraceptive pills.

This leads to subtherapeutic levels that increases the risk of pregnancy.

B- The prescription may vary

C- Rifampin causes staining of contact lens and should, therefore, be avoided

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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 assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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