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 B
Explanation
To find the maximum number of tablets the patient may have in 24 hours, you need to calculate the following:
- The number of doses the patient may have in 24 hours using the formula: Number of doses = 24 hours / Dosing interval (hours)
- The total dose of ibuprofen in milligrams (mg) for 24 hours using the formula: Total dose (mg) = Number of doses x Prescribed dose (mg)
- The number of tablets of ibuprofen using the formula: Number of tablets = Total dose (mg) / Strength per tablet (mg)
First, use the formula for number of doses to find how many times the patient may take ibuprofen in 24 hours:
Number of doses = 24 hours / Dosing interval (hours)
Since the dosing interval is 6 hours, plug in this value into the formula:
Number of doses = 24 hours / 6 hours
Simplify and solve for the number of doses:
Number of doses = 4
Next, use the formula for total dose to find the amount of ibuprofen in milligrams for 24 hours:
Total dose (mg) = Number of doses x Prescribed dose (mg)
Since the number of doses is 4 and the prescribed dose is 600 mg, plug in these values into the formula:
Total dose (mg) = 4 x 600 mg
Simplify and solve for the total dose:
Total dose (mg) = 2400 mg
Then, use the formula for number of tablets to find how many tablets of ibuprofen are needed:
Number of tablets = Total dose (mg) / Strength per tablet (mg)
Since the total dose is 2400 mg and the strength per tablet is 200 mg, plug in these values into the formula:
Number of tablets = 2400 mg / 200 mg
Simplify and solve for the number of tablets:
Number of tablets = 12
Therefore, the maximum number of tablets the patient may have in 24 hours is **12**.
Correct Answer is C
Explanation
The nurse should administer 12.5 mL of amoxicillin oral suspension.
This answer is correct because it is based on a simple ratio and proportion calculation. The nurse can set up a proportion as follows:
200 mg / 5 mL = 500 mg / x mL
Cross-multiplying and solving for x gives:
x = 12.5 mL
Therefore, the nurse should administer 12.5 mL of amoxicillin oral suspension to deliver 500 mg of the medication to the patient.
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