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.

Answer and Explanation

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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Correct Answer is A

Explanation

Hypothyroidism can cause a slowed heart rate, also called bradycardia1.

Choice B, Moist skin, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.
Choice C, Blurred vision, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.
Choice D, Insomnia, is not the correct answer because it is not a commonly reported symptom of hypothyroidism.

Correct Answer is ["94"]

Explanation

To calculate the flow rate in mL/hr, you need to divide the total volume to be infused by the total infusion time in hours (750 mL / 8 hr = 93.75 mL/hr).

Rounded to the nearest whole number, this is 94 mL/hr.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is collecting data from a client who has hypothyroidism. Which of the following should the nurse expect?

Correct Answer is A

Explanation

A nurse is preparing to administer 0.99% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.).

Correct Answer is ["94"]

Explanation

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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?