The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:
Draws up the short acting insulin into the syringe first
Administer the insulin IM into rotating sites
Administers the insulin into a doll at a 30-degree angle
Wipes off the needle with an alcohol swab
The Correct Answer is A
A. When mixing insulins, the short-acting insulin should be drawn into the syringe first to avoid contamination of the short-acting insulin with the long-acting insulin.
B. Insulin should be administered subcutaneously, not intramuscularly, and the sites should be rotated to avoid lipodystrophy.
C. Insulin should be administered at a 90-degree angle, not 30 degrees, to ensure proper subcutaneous delivery.
D. Wiping the needle with an alcohol swab is unnecessary and could introduce contaminants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"F","dropdown-group-2":"E"}
Explanation
Target 1: Digitalis toxicity
The child has been administered digoxin, a cardiac glycoside, multiple times. Digitalis toxicity is a risk due to the narrow therapeutic window of digoxin and the potential for adverse effects, especially if there are signs of worsening heart failure or electrolyte imbalances.
Target 2: Hypokalemia
The administration of furosemide, a loop diuretic, increases the risk of hypokalemia (low potassium levels). Hypokalemia can occur as a result of diuretic therapy and can exacerbate the risk of digitalis toxicity, as digoxin toxicity is often linked to low potassium levels.
Correct Answer is B
Explanation
Assessing the erythematous rash is important, as it can indicate the presence of erythema marginatum, a common symptom of rheumatic fever, but it is not the priority.
B. Auscultating the rate and characteristics of the child's heart sounds is the priority assessment because acute rheumatic fever can cause carditis, which affects the heart valves and can lead to serious complications. Early detection of any cardiac involvement is crucial for timely intervention and management.
C. Assessing joint pain is necessary for comfort and symptom management but does not take precedence over potential cardiac complications.
D. Identifying parental anxiety is important for providing emotional support but is not the immediate priority in managing the child's acute condition.
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