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The nurse is preparing to administer prescribed modified (cloudy) and nonmodified (clear) insulin to a client with type 1 diabetes. Place the following steps in the correct order, that the nurse should take to prepare the medication. All options must be used.

Inject the amount of air to the modified (cloudy) vial that is equal to the prescribed dose of modified (cloudy) insulin.

Invert the vial of non-modified (clear) insulin, then insert needle into the vial and draw back the prescribed dose

Inject the amount of air into the nonmodified (clear) vial that is equal to the prescribed dose of unmodified (clear) Insulin

Invert the vial of modified insert the needle into the (cloudy) Insulin, then vial and draw back the prescribed dose.

Answer and Explanation

The Correct Answer is A, C, B, D

Step 1: A. Inject the amount of air into the modified (cloudy) vial that is equal to the prescribed dose of modified (cloudy) insulin. This step is correct and should be done first. Injecting air into the vial of cloudy insulin (modified) helps to prevent creating a vacuum and makes it easier to withdraw the insulin.

Step 3: B. Invert the vial of non-modified (clear) insulin, then insert the needle into the vial and draw back the prescribed dose. This step should be done after air has been injected into the modified insulin vial. The clear insulin (non-modified) should be drawn first to avoid contamination of the clear insulin with the cloudy insulin.

Step 2: C. Inject the amount of air into the nonmodified (clear) vial that is equal to the prescribed dose of nonmodified (clear) insulin. This step should be done before drawing the insulin from the clear vial. Injecting air into the clear insulin vial helps to equalize the pressure and makes it easier to withdraw the insulin.

Step 4: D. Invert the vial of modified (cloudy) insulin, then insert the needle into the vial and draw back the prescribed dose. This step should be done after drawing the clear insulin. Drawing the cloudy insulin last helps to prevent any contamination of the clear insulin with the cloudy insulin.

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Correct Answer is C

Explanation

A. "I can provide resistance bands for you to use while performing range-of-motion exercises." Resistance bands are typically used for strengthening exercises, not specifically for isometric exercises.

B. “I want you to walk the hallways twice per day to increase your endurance." Walking is an aerobic exercise and does not represent isometric exercises, which involve static muscle contraction without movement.

C. “I can provide some simple yoga poses for you to practice as this will increase muscle mass." Yoga poses often involve holding positions that engage muscles without movement, which is characteristic of isometric exercises.

D. “Physical therapy will perform passive-range-of-motion with you each day." Passive-range-of-motion exercises are not isometric exercises, as they involve movement of the joints rather than muscle contraction without movement.

A. Obstructive sleep apnea B. Circadian rhythm disorder. C. Narcolepsy D. Insomnia

Correct Answer is A

Explanation

A. Obstructive sleep apnea: Obstructive sleep apnea is characterized by loud snoring, daytime drowsiness, and periods of waking up due to blocked airways. The client’s symptoms are consistent with this condition and warrant further assessment for it.

B. Circadian rhythm disorder: Circadian rhythm disorders involve disruptions in the sleep-wake cycle, but they are less likely to present with loud snoring and daytime drowsiness as primary symptoms.

C. Narcolepsy: Narcolepsy is characterized by excessive daytime sleepiness and sudden sleep attacks but does not typically include loud snoring or waking up from snoring.

D. Insomnia: Insomnia involves difficulty falling or staying asleep and would not typically cause daytime drowsiness from loud snoring or the described waking up issues.

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The nurse is preparing to administer prescribed modified (cloudy) and nonmodified (clear) insulin to a client with type 1 diabetes. Place the following steps in the correct order, that the nurse should take to prepare the medication. All options must be used.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a hospitalized patient about ways to perform isometric exercises. Which of the following exercises demonstrate appropriate instruction?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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