A nurse is reinforcing teaching with a client who was diagnosed with diabetes mellitus and requires insulin injections. Which of the following client statements indicates an understanding of the teaching?
"I should dispose of my used syringes in the household trash."
"I will store my current bottle of insulin in the refrigerator."
“I will hold the needle at a 15° angle to my skin."
“I should use an injection site that is 1 inch from the previous site.“
The Correct Answer is B
A. Disposing of used syringes in the household trash poses a risk of accidental needle sticks to others. The correct method of disposal is using a puncture-resistant container.
B. Storing the current bottle of insulin in the refrigerator is the correct practice to maintain the stability and effectiveness of the insulin. Insulin should be kept refrigerated until opened and
then can be kept at room temperature for up to 28 days.
C. Holding the needle at a 15° angle to the skin is not the recommended technique for insulin injection. The correct angle for subcutaneous insulin injection is usually 45 or 90 degrees, depending on the client's body habitus and the length of the needle.
D. Using an injection site that is 1 inch from the previous site may lead to lipohypertrophy, a condition characterized by fatty tissue buildup under the skin, which can affect insulin absorption. It is recommended to rotate injection sites to avoid this complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Preschoolers have short attention spans, so a 30-minute instructional session may not be effective and may overwhelm the child.
B. Scheduling the instructional session for 24 to 36 hours before the procedure may not be appropriate for a preschooler, as they may not retain the information for that length of time.
C. Taking the child on a tour of the surgery and recovery areas may be overwhelming and frightening for a preschooler, potentially increasing anxiety about the procedure.
D. Helping the child put a dressing on a doll is a developmentally appropriate technique for preparing a preschooler for a procedure. It allows the child to engage in hands-on learning and role-playing, helping them understand what will happen during the procedure and providing an opportunity to express any fears or concerns.
Correct Answer is D
Explanation
A. The lecithin/sphingomyelin (L/S) ratio test is not used to detect birth defects. It specifically assesses fetal lung maturity by measuring the ratio of two phospholipids present in fetal lung surfactant.
B. The L/S ratio test does not reveal the sex of the fetus. It is unrelated to fetal gender determination.
C. While preterm labor risk can be assessed through other methods, such as cervical length
measurement or fetal fibronectin testing, the L/S ratio test is specifically focused on fetal lung maturity.
D. The L/S ratio test is primarily used to determine fetal lung maturity, as an increased ratio indicates lung maturity and readiness for extrauterine life.
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