A nurse mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Withdraw the NPH insulin from the vial.
Inject air into the regular insulin vial.
Withdraw the regular insulin from the vial.
Inject air into the NPH vial.
The Correct Answer is D
The correct sequence of steps for mixing regular insulin and NPH insulin in the same syringe is as follows:
D. Inject air into the NPH insulin vial.
B. Inject air into the regular insulin vial.
C. Withdraw the regular insulin from the vial.
A. Withdraw the NPH insulin from the vial.
So, the nurse should first inject air into the NPH insulin vial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Notify your provider if you develop a fever while taking this medication."
Clozapine is an antipsychotic medication used to treat severe mental illnesses like schizophrenia. One of the potentially serious side effects of clozapine is agranulocytosis, which is a significant drop in white blood cell count. This can lead to an increased risk of infection. If the client develops a fever, it could be an early sign of an infection due to the lowered white blood cell count, so it's important for them to notify their provider promptly.
B. "Ringing in the ears is an expected adverse effect of this medication." - Tinnitus (ringing in the ears) is not a commonly reported adverse effect of clozapine.
C. "You might experience weight loss while taking this medication." - Weight gain is actually more commonly associated with clozapine use, rather than weight loss.
D. "Diarrhea is a common adverse effect of this medication." - While gastrointestinal disturbances can occur as side effects of antipsychotic medications, diarrhea is not specifically known as a common adverse effect of clozapine.
Correct Answer is ["0.4 mL"]
Explanation
To calculate the volume of heparin needed, you can use the formula:
Volume (mL) = Desired dose (units) / Concentration (units/mL)
In this case, the desired dose is 4,000 units and the concentration is 10,000 units/mL.
Volume = 4,000 units / 10,000 units/mL = 0.4 mL
So, the nurse should administer 0.4 mL of heparin.
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