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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
- Administration of subcutaneous heparin follows the following steps
- Wipe the chosen area with alcohol and avoid rubbing
- Remove the cap from needle
- Gently pinch a fold of skin
- Insert the needle at 45 to 90 degrees
- Push down the drug into the tissue
- Draw the needle out slowly at the same angle
- Apply a cotton ball light for 1-2 minutes
- Monitor for bleeding
Correct Answer is C
Explanation
Diphenhydramine is an oral antihistamine used in pruritus. Its main side effect is sedation and hence its recommended for use at bedtime to prevent daytime somnolence.
A. Taking the medication with meals does not reduce daytime sedation.
B. Gradually decreasing the dose once tolerance to the effect is reached may be appropriate in some cases, but it does not address immediate concerns about daytime sedation.
D. Distributing the doses evenly throughout the day may not effectively minimize daytime sedation.
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