A nurse is reinforcing teaching with an adolescent about self-administration of insulin. Which of the following instructions should the nurse include?
"You should chill your medication before administration”
"You should rotate sites when administering the medication."
"You should administer your medication at a 45-degree angle”
"You should administer your insulin into a muscle.”
The Correct Answer is B
A. "You should chill your medication before administration." Insulin should not be chilled before administration. It should be stored in a cool place, but administering insulin directly from the refrigerator can cause discomfort.
B. "You should rotate sites when administering the medication." Rotating injection sites helps prevent tissue damage and the formation of lumps or scar tissue. It is recommended to rotate sites within the same area (e.g., abdomen, thigh, etc.) to ensure absorption and prevent complications.
C. "You should administer your medication at a 45-degree angle." Insulin should generally be administered at a 90-degree angle for subcutaneous injection, not a 45-degree angle. A 45-degree angle may be appropriate.
D. "You should administer your insulin into a muscle." Insulin should be administered subcutaneously (into the fat layer just under the skin), not into the muscle. Injecting insulin into a muscle can alter its absorption rate and may cause irritation or pain.
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Related Questions
Correct Answer is C
Explanation
A. Pinto beans: Pinto beans are a good source of protein, but they are not considered a complete protein. They lack some of the essential amino acids, although they can be paired with other foods (like rice) to form a complete protein.
B. Peanut butter: Peanut butter is a good source of protein, but like pinto beans, it is not a complete protein. It lacks some essential amino acids, and while it can be part of a balanced diet, it does not provide all the necessary amino acids on its own.
C. Eggs: Eggs are an excellent source of complete protein because they contain all nine essential amino acids that the body cannot produce on its own. They are considered one of the best sources of high-quality, complete protein.
D. Broccoli: While broccoli contains some protein, it is not a complete protein. It provides some essential amino acids, but not all nine, so it does not qualify as a complete protein source on its own.
Correct Answer is C
Explanation
A. Latex gloves: Latex gloves should be avoided, especially in newborns, due to the risk of allergic reactions. Non-latex gloves are the preferred option for any care involving newborns.
B. Soft restraints: Soft restraints are not necessary for the care of a newborn with a myelomeningocele unless there is a specific concern for the infant’s safety. Restraints should not be routinely used unless deemed absolutely necessary.
C. Sterile saline: Sterile saline is essential for cleaning and maintaining the integrity of the myelomeningocele sac. The sac should be kept moist with sterile saline to prevent it from drying out or becoming infected. This is a critical to have at the bedside for proper care.
D. Rectal thermometer: A rectal thermometer should be avoided in infants with a myelomeningocele, especially if the sac involves the lower spinal cord, as it can potentially cause injury to the delicate tissue or result in a risk of infection.
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