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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “I will monitor the circulation in my baby's toes.” It is important to monitor the circulation in the toes of a child with serial casts, as the cast could cause pressure and affect blood flow. Checking for signs of poor circulation, such as color changes, temperature changes, or swelling, is crucial to ensure the cast is not too tight.
B. “I will give my baby ibuprofen for excessive crying.” Ibuprofen is not recommended for infants under 6 months of age, excessive crying should be evaluated to determine its cause. Administering ibuprofen without understanding the underlying issue could be inappropriate.
C. “My baby will need a calcium supplement with feedings.” Calcium supplements are not required for infants with clubfoot unless there is a specific indication, such as a dietary deficiency or underlying condition. Calcium is usually obtained through breast milk or formula.
D. “My baby will need to wear the casts for 4 to 6 months.” Serial casting for clubfoot treatment typically lasts longer than 4 to 6 months, depending on the severity of the condition and the child's response to treatment.
Correct Answer is D
Explanation
A. Maintain the child in a supine position: The child should not be in a supine (lying flat) position during enteral feedings, as this increases the risk of aspiration. The child should be positioned upright or at least 30 to 45 degrees to reduce this risk.
B. Discard gastric residuals prior to each feeding: While it is important to check gastric residuals before each feeding to ensure proper gastric emptying, residuals should not automatically be discarded. Depending on the volume of residuals, the feeding may need to be delayed or adjusted rather than discarded.
C. Warm the feeding in the microwave oven for 15 seconds: Feeding should never be warmed in the microwave because it can cause uneven heating, which could lead to burns. Feedings should be warmed using a safe method, such as a warm water bath, to ensure even temperature.
D. Administer the feeding to the child at 10 mL/min: Administering the feeding at a slow and controlled rate, such as 10 mL/min, is recommended to prevent discomfort and reduce the risk of aspiration. This rate allows the digestive system to process the feeding properly.
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