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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Fexofenadine can be taken with or without food, and there are no specific interactions with magnesium hydroxide. However, it’s always important to consult a healthcare provider before combining medications.
Choice B rationale:
While staying hydrated is generally good advice, there’s no specific requirement to drink up to one liter of fluid per day while taking fexofenadine.
Choice C rationale:
Fexofenadine should not be taken with fruit juices such as orange juice because they can decrease the absorption of the medication, making it less effective.
Choice D rationale:
Fexofenadine can cause side effects such as dizziness or drowsiness in some people. Therefore, it’s important to avoid driving or operating heavy machinery until you know how this medication affects you.
Correct Answer is B
Explanation
Choice A rationale:
Docusate sodium is a stool softener and does not have a direct effect on blood pressure. It is generally safe for individuals with hypertension.
Choice B rationale:
Pseudoephedrine is a decongestant that can raise blood pressure or interfere with the effectiveness of some prescribed blood pressure medications. Therefore, it is contraindicated for clients with hypertension.
Choice C rationale:
Omeprazole is a proton pump inhibitor used to decrease stomach acid. It does not have a significant impact on blood pressure and is generally safe for individuals with hypertension.
Choice D rationale:
Guaifenesin is an expectorant used to thin mucus in the air passages. It does not have a significant impact on blood pressure and is generally safe for individuals with hypertension.
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