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 B
Explanation
Choice A rationale:
Hypernatremia (high sodium levels) is not a common side effect of spironolactone. Spironolactone is a potassium-sparing diuretic and does not typically affect sodium levels.
Choice B rationale:
Hyperkalemia (high potassium levels) is a potential adverse effect of spironolactone. As a potassium-sparing diuretic, spironolactone can cause an increase in serum potassium levels.
Choice C rationale:
Hypophosphatemia (low phosphate levels) is not typically associated with spironolactone use.
Choice D rationale:
Hypocalcemia (low calcium levels) is also not a common side effect of spironolactone.
Correct Answer is B
Explanation
Choice A rationale:
Instructing the client to chew the medication is not recommended for enteric-coated tablets as it could result in stomach upset or damage to the protective coating.
Choice B rationale:
Placing the medication on the client’s tongue allows for easier swallowing without compromising the integrity of the enteric coating.
Choice C rationale:
Dissolving the medication in juice is not recommended as it could damage the enteric coating and result in stomach upset.
Choice D rationale:
Placing the medication between the client’s cheek and gum is not typically recommended for enteric-coated tablets as it could result in discomfort or damage to the protective coating.
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