The nurse is preparing to administer 20 units of NPH insulin to a client. Before administering the medication, the nurse should implement which intervention?
Massage the chosen injection site.
Assess the client's urine for the presence of glucose.
Assess the client's understanding of diabetes.
Have a colleague confirm the dosage.
The Correct Answer is D
This intervention is important to ensure accurate dosing and prevent medication errors. Insulin is a high-alert medication, meaning that it has a high potential for causing significant harm to the patient if administered incorrectly. Doublechecking the insulin dosage with a colleague can help prevent errors in dosing, which could lead to hypoglycemia or hyperglycemia in the client. It is also important to confirm the dosage since insulin dosing is based on individualized factors such as the client's blood glucose levels, weight, and overall health status.
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Related Questions
Correct Answer is B
Explanation
When using an insulin pump, the best site for inserting the infusion set is in the abdomen. This is because the abdomen has a higher amount of subcutaneous fat and a larger surface area, which allows for better absorption of the insulin. In addition, the abdomen is more accessible and easier to reach for self-insertion, and it also allows for better flexibility and comfort for the patient during daily activities.
It is important to rotate the infusion set insertion sites within the abdomen to avoid tissue damage and to ensure consistent absorption. Other sites, such as the hip, thigh, or deltoid, may be used but are generally not recommended due to the potential for slower absorption, tissue damage, and discomfort for the patient
Correct Answer is C
Explanation
Dextroamphetamine is a central nervous system (CNS) stimulant that is used to treat ADHD and narcolepsy. The drug has a high potential for abuse and dependence, and therefore it carries a black box warning from the FDA. The black box warning is the strongest warning that the FDA requires, and it indicates that a drug has a significant risk of serious or life-threatening adverse effects.
The black box warning for dextroamphetamine relates to its potential for abuse, addiction, and misuse. The drug should only be used as directed by a healthcare provider, and clients should be advised not to share their medication with others or to take more than the prescribed dose. Excessive doses of dextroamphetamine can lead to serious adverse effects, including stroke and heart attack. Clients should also be advised to store their medication securely and to dispose of any unused medication properly.
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