The nurse provides sliding scale insulin administration instructions to an adult who was recently diagnosed with diabetes mellitus. The client demonstrates an understanding of the instructions provided by performing the procedure in which order? (Arrange with the first on top and the last on the bottom.)
Obtain blood glucose level.
Verify the insulin prescription.
Draw insulin into insulin syringe.
Cleanse the selected site.
The Correct Answer is B,A,D,C
1. B. Verify the insulin prescription: The first step is to verify the prescription to ensure the correct type and dose of insulin before administering it. This ensures one is following the appropriate instructions.
2. A. Obtain blood glucose level: The next step is to check the client's blood glucose level to determine the amount of insulin needed based on the sliding scale.
3. D. Cleanse the selected site: After obtaining the blood glucose level, the next step is to prepare the injection site by cleaning it properly to prevent infection.
4. C. Draw insulin into insulin syringe: Finally, drawing the appropriate amount of insulin into the syringe, based on the sliding scale and the blood glucose level, to administer the injection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Instruct the client to cough as the suction tip is removed: Coughing can help clear secretions, but this action is not the primary safety concern during suctioning. The priority is minimizing the risk of injury, infection, and contamination during the procedure
B. Instil 3 mL of 0.9% sodium chloride before suctioning: Instilling saline before suctioning is generally not recommended as it can lead to complications, such as increasing mucus production, which can make suctioning more difficult.
C. Wear protective goggles while performing the procedure: Suctioning a tracheostomy can involve secretions that may potentially splash, so it’s important to wear protective goggles, as well as other appropriate personal protective equipment, to ensure safety and prevent contamination.
D. Apply a water-soluble lubricant to the catheter: Applying lubricant to the catheter is not recommended. The suction catheter should be kept sterile and dry to avoid introducing any contaminants into the trachea or the airway.
Correct Answer is A
Explanation
A. Bring a sterile chest drainage unit from central supply to the unit: This task can be delegated to a UAP. It involves retrieving an item from central supply, which is a non-clinical task and does not require nursing judgment or clinical assessment.
B. Observe a client's gait to determine the need for assistance: While UAPs can observe and report changes, assessing gait for the need of assistance involves clinical judgment and evaluation of the patient's safety, which should be done by a nurse.
C. Evaluate a client's urinary catheter for proper drainage: Evaluating proper drainage involves clinical assessment, which is within the scope of nursing practice, not a task for a UAP. The nurse should assess for proper functioning and any signs of complications.
D. Call the pharmacy to obtain a client's next antibiotic dose: Calling the pharmacy for medications involves communication and clinical decision-making, which is outside the scope of tasks that can be delegated to a UAP. The nurse should handle medication orders.
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