A nurse is reinforcing teaching with a client who is to start therapy with insulin lispro and insulin glargine.
Which of the following should the nurse include in the teaching?

Mix the insulins in the same syringe.

Give insulin glargine twice a day.

Shake the insulin vials to disperse particles.

Take insulin lispro right before a meal.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Mixing insulin lispro and insulin glargine in the same syringe is not recommended. Insulin glargine has a different pH and mixing it with other insulins could affect its action.

Choice B rationale:

Insulin glargine is a long-acting insulin that is typically given once a day. It provides a steady level of insulin over a 24-hour period.

Choice C rationale:

Shaking insulin vials is not recommended as it can lead to inaccurate dosing. Instead, insulin vials should be gently rolled between the hands to ensure proper mixing.

Choice D rationale:

Insulin lispro is a rapid-acting insulin and should be taken right before a meal. This helps to control the blood glucose spike that occurs after eating.

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Correct Answer is B

Explanation

Choice A rationale:

Hydrochlorothiazide is a diuretic medication and does not interfere with the absorption of tetracycline.

Choice B rationale:

Antacids can interfere with the absorption of tetracycline, reducing its effectiveness. Therefore, they should be taken 3 hours before or after taking tetracycline.

Choice C rationale:

Lovastatin is a lipid-lowering medication and does not interfere with the absorption of tetracycline.

Choice D rationale:

Acetaminophen is an analgesic and does not interfere with the absorption of tetracycline.

A. Respiratory rate 10/min. B. Facial flushing. C. Constipation. D. Blood pressure 88/56 mm Hg.

Correct Answer is A

Explanation

Choice A rationale:

A respiratory rate of 10/min is lower than the normal range (12-20 breaths per minute for adults), indicating respiratory depression, which is a serious side effect of morphine and should be reported immediately.

Choice B rationale:

Facial flushing is a common side effect of morphine due to histamine release but it’s not life-threatening.

Choice C rationale:

Constipation is a common side effect of morphine and can be managed with laxatives and diet.

Choice D rationale:

Blood pressure 88/56 mm Hg is lower than the normal range (90/60mmHg to 120/80mmHg), indicating hypotension, which can be a side effect of morphine but it’s not as immediately life-threatening as respiratory depression.

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A nurse is reinforcing teaching with a client who is to start therapy with insulin lispro and insulin glargine.Which of the following should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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A nurse is reinforcing teaching with a client who is to start therapy with insulin lispro and insulin glargine.
Which of the following should the nurse include in the teaching?