A patient is to receive insulin Regular and insulin NPH. How will the nurse draw up the insulins for administration?

Administer the two insulins using different syringes and different sites of the body.

Mix the Regular and NPH in the same syringe, drawing up the Regular first.

Shake the bottles vigorously before drawing up the insulins.

Mix the Regular and NPH in the same syringe, drawing up the NPH first.

Answer and Explanation

The Correct Answer is B

Choice A reason: Separate syringes increase injection sites and patient discomfort; mixing is standard as Regular and NPH are compatible, optimizing insulin delivery efficiency and absorption.

Choice B reason: Drawing Regular (clear) before NPH (cloudy) in one syringe prevents contamination of the short-acting vial with the intermediate-acting insulin, ensuring accurate dosing and stability.

Choice C reason: Shaking insulin damages its structure; NPH requires gentle rolling to mix, while Regular needs no mixing, making vigorous shaking inappropriate for preparation.

Choice D reason: Drawing NPH first risks contaminating the Regular vial with NPH particles, altering its rapid action; the clear-to-cloudy sequence maintains insulin integrity and efficacy.

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Correct Answer is D

Explanation

Choice A reason: Moderate reactions don't cause breathing difficulty or hypotension. Severe symptoms indicate anaphylaxis, requiring emergency intervention.

Choice B reason: Symptoms align with anaphylaxis, not food poisoning. Assuming an unrelated cause delays life-saving treatment.

Choice C reason: Mild reactions lack systemic effects like hypotension and breathing difficulties. Antihistamines alone are insufficient for anaphylaxis.

Choice D reason: Anaphylaxis involves systemic reactions such as hypotension, airway constriction, and skin symptoms. Immediate interventions prevent progression and save lives.

A. After showing the drug label to the client B. Before returning the drug container to the client’s medication drawer C. Before calling the pharmacy D. After checking the drug container with a colleague

Correct Answer is B

Explanation

Choice A reason: Showing the client isn’t a standard check; patients don’t verify MAR, and this step lacks relevance to the nurse’s triple-check safety protocol.

Choice B reason: Checking before returning ensures accuracy; the third check confirms the right drug post-administration, completing the three-point verification process safely.

Choice C reason: Calling the pharmacy is unrelated; label checks occur during administration, not external consultation, making this an irrelevant timing option.

Choice D reason: Colleague checks aren’t routine; the three checks are individual, and this step doesn’t align with standard MAR verification timing protocols.

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A patient is to receive insulin Regular and insulin NPH. How will the nurse draw up the insulins for administration?

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Naxlex Comprehensive Predictor Exams

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication. The patient soon starts having difficulty breathing and his blood pressure drops. What is the correct analysis of the patient's condition?

Correct Answer is D

Explanation

When administering a medication, a nurse should check the label on the drug container against the MAR when removing the drug container from the client's medication drawer, when removing the drug from the medication container, and:

Correct Answer is B

Explanation

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