Which of the following is a violation of safe practice when administering insulin?
Administering ordered insulin subcutaneously.
Using an insulin syringe to administer the insulin dose.
Drawing up the ordered dose in a 3 mL syringe.
Verifying the drawn-up insulin dose with another nurse.
The Correct Answer is C
Choice A rationale
Administering ordered insulin subcutaneously is the correct method of administration. Insulin is not typically given by other routes.
Choice B rationale
Using an insulin syringe to administer the insulin dose is the correct practice. Insulin syringes are calibrated in insulin units, which helps ensure accurate dosing.
Choice C rationale
Drawing up the ordered dose in a 3 mL syringe is a violation of safe practice. Insulin should always be drawn up in an insulin-specific syringe, which is marked in insulin units, not milliliters.
Choice D rationale
Verifying the drawn-up insulin dose with another nurse is a recommended safety practice in many settings. This double-check can help prevent errors in insulin dosing.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
While some medications are best taken on an empty stomach, there is no specific requirement for buspirone to be taken on an empty stomach.
Choice B rationale
Buspirone does not have immediate effects. It may take several weeks to feel the full effects of this medication.
Choice C rationale
Buspirone has a low risk for dependency, which is an important point to include when educating a client about this medication.
Choice D rationale
Buspirone should not be taken on an as-needed basis for anxiety. It is intended for regular use to manage symptoms of anxiety.
Correct Answer is B
Explanation
Choice A rationale
While diabetes is a serious condition, it is not specifically contraindicated with the use of decongestants. However, as with any medication, it should be used with caution in individuals with diabetes, and any changes in blood glucose levels should be monitored.
Choice B rationale
Decongestants should be used with caution in individuals with hypertension. Decongestants work by constricting blood vessels to reduce swelling and congestion. This constriction can also affect blood vessels throughout the body, potentially raising blood pressure.
Choice C rationale
Allergic rhinitis is actually one of the conditions that decongestants are commonly used to treat. They work by reducing the swelling in the nasal passages, relieving the symptoms of congestion.
Choice D rationale
Hyperthyroidism is a condition that can be exacerbated by the use of decongestants. The increased metabolic rate associated with hyperthyroidism can intensify the stimulant effects of decongestants, potentially leading to increased heart rate and blood pressure.
Choice E rationale
Heart disease is another condition where caution is needed when using decongestants. The vasoconstrictive action of decongestants can increase the workload of the heart, potentially exacerbating symptoms in individuals with heart disease.
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