A nurse is reinforcing discharge teaching with a client regarding selfadministration of regular insulin. What instruction should the nurse include?
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.
Keep unopened insulin vials in the freezer.
The Correct Answer is B
The correct answer is choice B: Store opened insulin vials at room temperature for up to 4 weeks.
Choice B rationale: Opened insulin vials can be stored at room temperature (59°F to 86°F or 15°C to 30°C) for up to 4 weeks. After this period, the insulin may lose potency, and a new vial should be used.
Choice A rationale: Regular insulin is short-acting, and its peak effect occurs 2 to 3 hours after administration. Eating a snack 6 hours after insulin administration may not be necessary as the insulin would have already reached its peak effect, and blood glucose levels should be monitored accordingly.
Choice C rationale: Warming the insulin vial to dissolve crystals is not recommended. Insulin should be inspected before use, and if crystals or clumps are present, it should be discarded as this could indicate that the insulin has lost its effectiveness.
Choice D rationale: Unopened insulin vials should be stored in the refrigerator (36°F to 46°F or 2°C to 8°C) and should not be frozen. Freezing can cause insulin to lose potency or become ineffective. Once opened, insulin vials can be stored at room temperature for up to 4 weeks, as mentioned in choice B.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B, which cleans a blood spill with chlorine bleach. This is an appropriate action for infection control because bleach is an effective disinfectant that can kill most pathogens, including bloodborne viruses such as HIV and hepatitis B and C.
A. Rolling soiled linen with the clean side in it before placing it in the laundry bag is not the correct answer because it can spread pathogens and cause cross-contamination.
Performing hand hygiene with hands at elbow level is not the correct answer because it is not the correct technique for hand hygiene, which involves washing hands with soap and water or using an alcohol-based hand sanitizer.
Instructing a female client to wipe the perineal area from back to front is not the correct answer because it can cause contamination of the urethra and increase the risk of urinary tract infections.
Correct Answer is B
Explanation
Apply foam handles to the client's eating utensils. This intervention can help the client grip the utensils better and improve their ability to eat.
Reasons why the other options are not answers:
Option A: Having an assistive personnel feed the client may decrease the client's autonomy.
Option C: Obtaining a referral for physical therapy may be helpful but does not address the immediate issue of difficulty with eating.
Option D: Asking the provider for a prescription for a pureed diet may not be necessary or desirable at this time.
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