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","C"]
Explanation
A client who has an understanding of the manifestations of hyperglycemia would know that their breath may have a fruity odor.
This is due to the presence of ketones, which are produced when the body breaks down fat for energy instead of using glucose.
Choice A is also correct.
Blurry vision can be a symptom of hyperglycemia.
High blood sugar levels can cause the lens of the eye to swell, leading to changes in vision.
Choice B is incorrect because hyperglycemia can cause an increase in appetite, not a decrease.
Choice D is incorrect because hyperglycemia can cause an increase in thirst, not a decrease.
This is due to the body’s attempt to flush out excess glucose through increased urination, which can lead to dehydration and increased thirst.
Correct Answer is A
Explanation
The nurse should instruct the patient to avoid taking verapamil with grapefruit.
Studies have demonstrated an interaction between verapamil and grapefruit juice, which is likely due to an inhibition of intestinal metabolism resulting in increased oral bioavailability1.
This means that grapefruit can interfere with the enzymes that break down verapamil in your digestive system, potentially leading to dangerous health problems2.
Choices B, C, and D are incorrect because there is no known interaction between verapamil and spinach, broccoli, or carrots.
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