A nurse is providing discharge instructions to a patient about self-administration of regular insulin. Which of the following instructions should be included by the nurse?
Keep unopened insulin vials in the freezer.
Plan to eat a snack 6 hours after insulin administration.
Store opened insulin vials at room temperature for up to 4 weeks.
Warm the insulin vial to dissolve any crystals that develop.
The Correct Answer is C
Choice A rationale
Keeping unopened insulin vials in the freezer is not recommended. Freezing can disrupt the insulin molecule and affect its efficacy.
Choice B rationale
Planning to eat a snack 6 hours after insulin administration is not a standard recommendation. The timing of meals and snacks should be individualized based on the type of insulin, blood glucose levels, and lifestyle.
Choice C rationale
Storing opened insulin vials at room temperature for up to 4 weeks is a correct practice. Insulin stored at room temperature causes less discomfort on injection than cold insulin.
Choice D rationale
Warming the insulin vial to dissolve any crystals that develop is not a standard practice. Insulin should not be used if it appears cloudy or discolored.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Bulging skin around the stoma can be a sign of a hernia, but it’s not uncommon in the early postoperative period. It should be monitored, but it’s not typically a cause for immediate concern.
Choice B rationale
A stoma that protrudes 2 cm (0.8 in) above the abdominal wall is considered normal. The stoma should protrude above the skin to prevent stool from coming into contact with the skin, which can cause irritation and breakdown.
Choice C rationale
A stoma that is moist and beefy red is a sign of a healthy stoma. This indicates that the stoma has a good blood supply and is not ischemic or necrotic.
Choice D rationale
No fecal output from the stoma 24 hours after surgery could indicate a blockage or other complication and should be reported to the provider immediately.
Correct Answer is C
Explanation
Choice A rationale
Administering a laxative would not be beneficial for a patient with hypernatremia. Laxatives can cause diarrhea, which can lead to further fluid loss and exacerbate the hypernatremia.
Choice B rationale
Administering a potassium supplement would not address the issue of hypernatremia. Hypernatremia is an excess of sodium in the blood, not a deficiency of potassium.
Choice C rationale
Restricting sodium intake is a key intervention for managing hypernatremia. This can help reduce the amount of sodium in the body and bring the sodium levels back to normal.
Choice D rationale
Restricting fluid intake would not be recommended for a patient with hypernatremia. In fact, increasing fluid intake is often part of the treatment plan for hypernatremia to help dilute the excess sodium in the blood.
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