A nurse is teaching a client Who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?

Administer the insulin in two separate injections.

Keep the open vial of insulin at room temperature.

Aspirate the medication prior to administration.

Inject the insulin into a large muscle.

Answer and Explanation

The Correct Answer is B

Regular insulin (short-acting) and NPH insulin (intermediate-acting) can be mixed and administered in the same syringe. This is a common practice when using both types of insulin to simplify the injection process, as long as the client is instructed on proper mixing techniques.
B.   Open vials of insulin can be stored at room temperature (typically up to 25°C or 77°F) for a certain period (usually about 28 days) before they need to be refrigerated again. This makes the insulin more comfortable to inject and helps maintain its effectiveness.
C.   Aspiration is not recommended for insulin injections due to the risk of injecting into a blood vessel
D.   Insulin injections should be administered subcutaneously, not into a large muscle.

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Correct Answer is B

Explanation

Liver cirrhosis interferes with the synthesis of vitamin K dependent coagulation factors leading to a prolonged prothrombin time (PT). Administration of vitamin K improves clotting function by replenishing the deficient clotting factors.
A. Heparin is an anticoagulant medication that works by inhibiting blood clotting. It can further increase the risk of bleeding.
C. Warfarin is an oral anticoagulant medication commonly used to prevent blood clots and like heparin, increases risk of bleeding.
D. Ferrous sulfate is an iron supplement used to treat iron deficiency anemia but not effect on coagulation.

A. Tachycardia B. Oliguria C. Constipation D. Drowsiness

Correct Answer is A

Explanation

Theophylline is a potent bronchodilator with potential side effects including tachycardia, heart arrhythmias, diuresis, diarrhea and stimulation of the central nervous system.

B-Theophylline causes diuresis

C-Theophylline causes diarrhea

D-Theophylline causes insomnia, restlessness

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A nurse is teaching a client Who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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