When drawing up insulin from two different vials (e.g., rapid-acting and intermediate-acting insulin), which type of insulin should be drawn up first?

Draw up the rapid-acting insulin first.

Draw up the intermediate-acting insulin first.

It doesn't matter which insulin is drawn up first.

Draw up the regular insulin first.

Answer and Explanation

The Correct Answer is A

Drawing up rapid-acting insulin before intermediate-acting insulin prevents contamination of the rapid-acting insulin vial with the longer-acting insulin.

Incorrect choices:

b. Drawing up intermediate-acting insulin first can contaminate the vial with rapid-acting insulin, potentially altering dosing accuracy.

c. The order in which insulin is drawn up does matter to prevent contamination.

d. Regular insulin is not commonly used for injection in routine insulin therapy.

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Correct Answer is C

Explanation

Encouraging the client to consume a high-protein snack. Consuming a high-protein snack along with a source of fast-acting carbohydrates helps stabilize blood sugar levels and prevent further hypoglycemia.

Incorrect choices:

a. Administering glucagon injection is indicated for severe hypoglycemia when the client is unconscious or unable to swallow.

b. Starting an IV glucose infusion is reserved for severe hypoglycemia cases that are unresponsive to other interventions or when the client is unable to tolerate oral intake.

d. Monitoring blood sugar levels every 4 hours is a routine practice but does not address the immediate need to treat hypoglycemia.

A. "I will store my insulin vials in the refrigerator." B. "I can keep my insulin pens in my car as long as it's not too hot outside." C. "I'll check the expiration date on my insulin vials before use." D. "I should gently roll the insulin vial between my palms before using it."

Correct Answer is B

Explanation

Insulin pens should not be exposed to extreme temperatures, including heat, as it can affect their potency.

Incorrect choices:

a. Storing insulin vials in the refrigerator helps maintain their potency, but they can be kept at room temperature for up to 28 days once in use.

c. Checking the expiration date on insulin vials is important to ensure their effectiveness and safety.

d. Gently rolling the insulin vial between palms helps mix the insulin if it appears cloudy, but it should not be done with clear insulin.

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When drawing up insulin from two different vials (e.g., rapid-acting and intermediate-acting insulin), which type of insulin should be drawn up first?

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Naxlex Comprehensive Predictor Exams

A client with diabetes is experiencing hypoglycemia and is conscious. Which intervention should the nurse implement for hypoglycemia management?

Correct Answer is C

Explanation

A nurse is teaching a client about insulin storage and handling. Which statement by the client indicates a need for further education?

Correct Answer is B

Explanation

A nurse is teaching a client about self-administering insulin. The client asks, "Where is the best site to inject insulin?" Which response is correct?

Which type of insulin has the fastest onset of action?

A client with diabetes is unconscious and experiencing severe hypoglycemia. What is the appropriate nursing intervention for hypoglycemia management?

A client with type 1 diabetes is starting insulin therapy. The client asks the nurse, "How do I know what dose of insulin to take?" What is the nurse's best response?

A client with diabetes is prescribed a basal-bolus insulin regimen. The nurse teaches the client about this regimen. Which statement by the client indicates a need for further education?

A client is worried about maintaining the effectiveness of insulin during hot summer months. What guidance should the nurse provide to the client regarding insulin storage and handling in warm weather?

Which type of insulin is also known as "basal insulin"?

When drawing up insulin from two different vials (e.g., rapid-acting and intermediate-acting insulin), which type of insulin should be drawn up first?