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

Methotrexate is immunomodulatory that inhibits DNA synthesis and repair but blocking the metabolism of DNA building blocks. In addition to it disease modifying effects on targeted tissues, it also affects rapidly dividing cells such as the bone marrow leading to reduced platelets that causes bleeding. Information on number of platelets is important to guide the next action

A-Electric brush will worsen the bleeding

C-This is important but not priority as the bleeding is likely related to the medication

D- Explaining is important but does not address the issue at hand

A. Monitor for weight loss. B. Take the medication with food. C. Expect ringing in your ears. D. Store the medication in the refrigerator.

Correct Answer is B

Explanation

Ibuprofen is a non-selective nonsteroidal anti-inflammatory drug (NSAID) used to manage pain and inflammation. It prevents the synthesis of protective prostaglandins in the stomach leading to gastric irritation and ulceration. Taking ibuprofen with food reduces the risk of gastrointestinal irritation.

A. Ibuprofen does not cause weight loss

C. Ear ringing is not an expected side effect and any occurrence of such should be reported

D. Ibuprofen is stable at room temperature and does not require refrigeration

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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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