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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
To calculate the rate at which the volumetric pump should be set to deliver the intravenous fluids, you need to divide the total volume of fluid (3,000 mL) by the total time in hours (24 hours).
This gives you 3,000 mL ÷ 24 hours = 125 mL/hr.
Therefore, the nurse should set the volumetric pump to deliver 125 mL of fluid per hour.
Choice B is incorrect because 130 mL/hr would result in a total of 3,120 mL over 24 hours.
Choice C is incorrect because 135 mL/hr would result in a total of 3,240 mL over 24 hours.
Choice D is incorrect because 140 mL/hr would result in a total of 3,360 mL over 24 hours.
Correct Answer is C
Explanation
The statement “I won’t seal my lips around the mouthpiece and take slow, deep breaths” indicates a need for further teaching.
When using a nebulizer, the client should place the mouthpiece in their mouth between their teeth and close their lips around it 1.
They should also take slow, deep breaths to ensure that the medication is properly inhaled 1.
Choice A is incorrect because washing the mouthpiece with warm soapy water each day is a recommended action 2.
Choice B is incorrect because storing the nebulizer at room temperature is acceptable.
Choice D is incorrect because it is not necessary to keep medication in the nebulizer at all times.
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