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 A

Explanation

flank pain is a typical symptom of urolithiasis (renal or ureteric). The presence of a stone in the urinary tract stretches the tract leading to pain. Calcium supplementation increases the risk of calcium stone formation in the urinary tract.

B. calcium supplements do not cause hepatitis

C. Calcium supplementation do not cause peptic ulcers

D. Calcium stones have been implicated in pancreatic but this presents with epigastric pain

A. Dilute the medication with dextrose 5k in water. B. Administer a saline solution after injection. C. Administer the medication at 100 mg/min. D. Hold the injection if seizure activity is present.

Correct Answer is B

Explanation

It is recommended that every injection of phenytoin be followed by infusion of at least 50 to 100mls of normal saline infusion. This is important to prevent local irritation that occurs as surrounding tissues react to the medication.

A. Mixing phenytoin in dextrose 5% is not recommended due risk of precipitation of the Phenytoin acid

C. Phenytoin should be given at a date of 50mg/min or less to reduce the risk of toxicity

D. The injection should not be held as it is used to manage the seizure unless it is not safe for the nurse to give it

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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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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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