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
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Correct Answer is A
Explanation
A nurse should never share her password for access to the facility’s computer system with anyone.
Sharing passwords can compromise the security and confidentiality of patient information.
For the second question you asked, the correct answer is choice A.
“I’ll use my electric razor for shaving.” This statement indicates that the client understands that warfarin (coumadin) can increase the risk of bleeding and that using an electric razor can help reduce the risk of cuts and bleeding while shaving.
Choice B is not the best answer because taking aspirin while on warfarin (coumadin) can increase the risk of bleeding.
Choice C is not the best answer because eating foods high in vitamin K can interfere with the effectiveness of warfarin (Coumadin).
Choice D is not the best answer because drinking alcohol while on warfarin (coumadin) can increase the risk of bleeding.
Correct Answer is A
Explanation
“Patient’s platelets 100,000.” A nurse should report a low platelet count to the provider because it may indicate heparin-induced thrombocytopenia (HIT), a serious complication of heparin therapy.
Choice B is not correct because a Prothrombin time (PT) of 12 seconds is within the normal range and does not need to be reported.
Choice C is not correct because Thrombin time (TT) is not typically used to monitor heparin therapy.
Choice D is not correct because a Hematocrit of 35% is within the normal range and does not need to be reported.
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