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 D

Explanation

Bethanechol is a cholinergic agonist used to stimulate contraction of the bladder to help in the expulsion of urine. It is used in the management of urinary retention by promoting bladder emptying. Therefore, it should be administered when the client reports an inability to void, as this indicates urinary retention
A. Bladder spasms are treated with Oxybutynin
B. Frequent painful urination is a feature of UTI requiring antibiotics
C. Bethanechol has no analgesic property

A. The client has become addicted to the medication. B. The client is experiencing episodes of confusion. C. The client not been taking the medication properly. D. The client developed tolerance to the medication.

Correct Answer is D

Explanation

Tolerance refers to where there is reduced responsiveness to a drug due to prolonged exposure to the drug requiring higher doses to achieve the same effect. This effect requires progressive increment in dosages of the medication which may increase the risk for toxicity.
A. Addiction is characterized by compulsive efforts to acquire the drug despite being aware of its adverse consequences
C and D are not related to the continuous need for higher doses of morphine

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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