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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.6"]
Explanation
To calculate the dosage of digoxin for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 66 pounds, which is approximately 30 kilograms (66 ÷ 2.2). The prescribed dose is 12 micrograms per kilogram per day, which equals 360 micrograms per day (12 mcg × 30 kg). Since the dose is divided every 12 hours, the child should receive 180 micrograms every 12 hours. The digoxin elixir is available at a concentration of 0.05 mg/mL, which is the same as 50 micrograms per milliliter. To find out how many milliliters to administer per dose, divide the dose in micrograms by the concentration: 180 mcg ÷ 50 mcg/mL equals 3.6 mL.
Correct Answer is A
Explanation
A. Racemic epinephrine nebulizer therapy is effective in reducing airway inflammation and aiding bronchodilation in croup.
B. While oral fluids are important for overall hydration, they do not directly address the bronchodilation needed for croup.
C. Long, slow breaths can be helpful but are not as directly effective as nebulized medications in managing croup symptoms.
D. Oral analgesics address pain but do not contribute to bronchodilation.
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