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 B
Explanation
A. Nausea and vomiting are more commonly associated with hyperglycemia, not hypoglycemia.
B. Shakiness is a common symptom of hypoglycemia, indicating that the parents understand the signs of low blood glucose levels.
C. The onset of hypoglycemia is typically rapid, not slow, which is why quick intervention is necessary.
D. Sweating is a common symptom of hypoglycemia, not hyperglycemia.
Correct Answer is A
Explanation
A. Sitting the child upright and forward while applying pressure to the sides of the nose is the correct approach to managing a nosebleed. This position prevents blood from flowing down the throat and helps stop the bleeding by applying direct pressure.
B. Turning the child's head to the side and pressing on the nasal ridge is incorrect because it does not effectively control the bleeding and may cause blood to flow into the throat.
C. Lying the child in bed and pressing on the forehead is not effective in controlling a nosebleed.
D. Lying flat and applying pressure to the cheeks does not address the source of the bleeding and may worsen the situation.
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