A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus about insulin safety. Which of the following statements by the nurse is appropriate?
Insulin is stable at room temperature for one month.
Insulins can be mixed in the same syringe.
Storing insulin in the freezer will prolong its stability.
Clients with type 1 diabetes mellitus should keep backup medication and supplies in their car.
The Correct Answer is A
The correct answer is a. Insulin is stable at room temperature for one month.
Choice A Reason:
Insulin is stable at room temperature (between 59°F and 86°F) for up to one month. This is important for patients to know, especially if they do not have immediate access to refrigeration. However, it is crucial to avoid exposing insulin to extreme temperatures, such as direct sunlight or freezing conditions, as these can degrade the medication’s effectiveness.
Choice B Reason:
While some types of insulin can be mixed in the same syringe, this practice is not universally applicable to all insulin types. For example, rapid-acting and intermediate-acting insulins can sometimes be mixed, but long-acting insulins should not be mixed with other insulins. Therefore, this statement is not entirely accurate and should be clarified based on the specific types of insulin being used.
Choice C Reason:
Storing insulin in the freezer is not recommended as freezing can damage the insulin, rendering it ineffective. Insulin should be stored in a refrigerator at temperatures between 36°F and 46°F. If insulin is accidentally frozen, it should not be used.
Choice D Reason:
While it is advisable for clients with type 1 diabetes to have backup medication and supplies, storing them in a car is not recommended due to the potential for extreme temperature fluctuations. Insulin and other diabetes supplies should be kept in a stable, controlled environment to ensure their efficacy.
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Related Questions
Correct Answer is ["D"]
Explanation
Choice A Reason:
A urine specific gravity of 1.010 falls within the normal range of 1.005 to 1.0301. This value does not indicate hyponatremia. In SIADH, urine is often more concentrated due to the retention of water, leading to higher specific gravity values.
Choice B Reason:
Respiratory alkalosis is not a typical manifestation of hyponatremia. It is usually associated with conditions that cause hyperventilation, such as anxiety or high altitude. SIADH typically does not cause respiratory alkalosis.
Choice C Reason:
Diarrhea is not a direct manifestation of hyponatremia. While diarrhea can lead to electrolyte imbalances, including hyponatremia, it is not a symptom caused by SIADH5. SIADH leads to water retention and dilutional hyponatremia, not diarrhea.
Choice D Reason:
Diminished reflexes are a manifestation of hyponatremia. Low sodium levels affect neuromuscular function, leading to symptoms such as muscle weakness, cramps, and diminished reflexes7. This is a direct result of the electrolyte imbalance caused by SIADH.
Correct Answer is ["C","D"]
Explanation
Choice A Reason
Acetaminophen is often used to manage pain and fever, but it is not the primary treatment for pericarditis. While it can help alleviate discomfort, it does not address the inflammation associated with pericarditis12.
Choice B Reason:
Amiodarone is an antiarrhythmic medication used to treat and prevent various types of serious irregular heartbeats, such as ventricular tachycardia or ventricular fibrillation. It is not typically used for treating pericarditis, as it does not address the inflammation or pain associated with the condition.
Choice C Reason:
Colchicine is recommended as part of the first-line treatment for pericarditis. It helps reduce inflammation and the risk of recurrent pericarditis when used in conjunction with NSAIDs5. Colchicine is effective in managing symptoms and preventing recurrences.
Choice D Reason:
Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that is effective in reducing inflammation and pain associated with pericarditis. NSAIDs are commonly prescribed for pericarditis to help manage symptoms and reduce inflammation. Indomethacin, along with other NSAIDs like ibuprofen, is often part of the first-line treatment for this condition.
Choice E Reason:
Nitroglycerine is primarily used to treat angina (chest pain) and heart failure by dilating blood vessels and reducing the heart’s workload. It is not typically used for treating pericarditis, as it does not address the inflammation or pain associated with the condition.
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