A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe.
Which of the following instructions should the nurse provide?
Inject air into the regular insulin first.
Shake the NPH insulin until it is well mixed.
Draw up the NPH insulin into the syringe first.
Discard regular insulin if it appears cloudy.
The Correct Answer is A
“Inject air into the regular insulin first.” When mixing regular insulin and NPH insulin in the same syringe, the nurse should instruct the client to inject air into the NPH insulin vial first, then inject air into the regular insulin vial.
After that, the client should draw up the regular insulin into the syringe first, followed by the NPH insulin.
Choice B is not correct because NPH insulin should not be shaken vigorously as it can damage the insulin molecules.
Choice C is not correct because the regular insulin should be drawn up into the syringe first.
Choice D is not correct because regular insulin is a clear solution and should not appear cloudy.
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Related Questions
Correct Answer is D
Explanation
Patients have the right to access their medical records and review them with their healthcare provider.
The nurse should set up a time for the client to meet with their provider to go over their medical record.
Choice A is not correct because patients do not need to submit a written request for access to their medical records.
Choice B is not correct because patients do not have to wait until discharge to review their medical records.
Choice C is not correct because it is not appropriate for the nurse to deny the patient’s request to review their medical record.
Correct Answer is B
Explanation
Step 1: Calculate the total infusion time in minutes.
24 hours × (60 minutes/hour) = 1440 minutes.
Step 2: Calculate the infusion rate in mL/min.
1200 mL ÷ 1440 minutes = 0.833 mL/min.
Step 3: Calculate the drop rate in gtt/min.
0.833 mL/min × 15 gtt/mL = 12.495 gtt/min.
Step 4: Round to the nearest whole number.
12.495 ≈ 13 gtt/min.
Answer: 13 gtt/min.
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