A primary healthcare provider prescribes 14 units of insulin to a client.
What should a nurse do while administering this medication to the client?
Administer 14 units of medication SubQ in a U-100 syringe
Administer 14 units of medication SubQ in two divided doses in a U-100 syringe
Administer 14 units of medication SubQ in one dose in a tuberculin syringe
Administer 14 units of medication SubQ in the morning after breakfast in a tuberculin syringe
The Correct Answer is A
Insulin is a hormone that helps regulate blood sugar levels. It is usually injected into the fat layer just under the skin (subcutaneous or SubQ) using a syringe and needle or a pen-like device². Insulin syringes are marked in units of insulin, not milliliters or cubic centimeters. The most common insulin syringe holds 1 mL of fluid and has markings for 100 units of insulin². A U-100 syringe means that for every 1 mL of fluid, there are 100 units of insulin³.
To administer 14 units of insulin, you would need to draw up 0.14 mL of fluid in a U-100 syringe. You would inject the insulin into your abdomen, upper arm, butocks, hip, or the front or side of the thigh¹. You would use a different area within the site each time you inject insulin to prevent lumps, swelling, or thickened skin¹.
The other options are incorrect because:
b) There is no need to divide the dose into two injections. This would increase the risk of infection and pain.
c) A tuberculin syringe is not designed for insulin administration. It is marked in milliliters or cubic centimeters, not units of insulin. Using a tuberculin syringe could result in an incorrect dose of insulin.
d) The timing of insulin administration depends on the type and duration of insulin. Some insulins are taken before meals, some are taken after meals, and some are taken once or twice a day. The primary healthcare provider should specify when to take the insulin.
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Related Questions
Correct Answer is A
Explanation
The flow rate of infusion is 125 mL/hr.
This answer is correct because it is based on a simple division and rounding calculation. The nurse should follow these steps to determine the flow rate of infusion:
1) Subtract the start time of the infusion from the end time of the infusion to get the duration of the infusion in hours and minutes, as follows:
15:45 - 06:57 = 8:48
Therefore, the infusion lasted for 8 hours and 48 minutes.
2) Convert the duration of the infusion to hours only by dividing the minutes by 60, since there are 60 minutes in 1 hour. Add this to the hours, as follows:
8 + (48 / 60) = 8.8
Therefore, the infusion lasted for 8.8 hours.
3) Divide the volume of the infusion by the duration of the infusion to get the flow rate in milliliters per hour, as follows:
1000 mL / 8.8 hr = 113.64 mL/hr
Therefore, the flow rate is 113.64 mL/hr.
4) Round the flow rate to the nearest whole number, as follows:
113.64 mL/hr ≈ 114 mL/hr
Therefore, the flow rate is approximately 114 mL/hr.
5) Adjust the flow rate to a standard value that can be set on an IV pump or gravity drip chamber, as follows:
114 mL/hr → 125 mL/hr
Therefore, the flow rate of infusion is 125 mL/hr.
Correct Answer is ["B","C","D"]
Explanation
The three components of communication are the sender, the receiver, and the message. The sender is the person who initiates the communication by sending a message. The receiver is the person who receives the message. The message is the information that is being communicated.
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