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A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?
- A. Discard regular insulin if it appears cloudy.
- B. Draw up the NPH insulin into the syringe first.
- C. Shake the NPH insulin until it is well-mixed.
- D. Inject air into the regular insulin first.
Correct Answer: A
Rationale: Regular insulin should be clear; if it appears cloudy, it may be contaminated or expired and should be discarded to ensure safe administration.
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A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
- A. Determine the patency of the tubing.
- B. Notify the provider.
- C. Administer a prescribed analgesic.
- D. Offer oral fluids.
Correct Answer: A
Rationale: Determining tubing patency is the first action to check for blockages, preventing complications like bladder distention.
A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 2 mL
Rationale: 4 mg ÷ 2 mg/mL = 2 mL. The nurse should administer 2 mL.
A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. Which of the following statements should the nurse include in the teaching?
- A. Apply an ice pack to painful joints for 20 minutes, 3 times a day.
- B. Take a dose of aspirin on days when you have more pain.
- C. Increase your water intake to 2 liters per day.
- D. Participate in high impact aerobics to increase joint mobility.
Correct Answer: C
Rationale: Increasing water intake to 2 liters daily supports joint lubrication and overall health in osteoarthritis management.
A nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? (Select all that apply.)
- A. Obtain the client's weight.
- B. Verify the glomerular filtration rate.
- C. Check the graft site for a palpable thrill.
- D. Document vital signs.
- E. Administer a sedative to the client.
Correct Answer: A,C,D
Rationale: Obtaining the client's weight, checking the graft site for a palpable thrill, and documenting vital signs are essential to monitor fluid balance, ensure vascular access functionality, and detect complications during hemodialysis.
A nurse is preparing to administer hydrochlorothiazide 25 mg PO. The amount available is hydrochlorothiazide 50 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 1 tablet
Rationale: 25 mg ÷ 50 mg/tablet = 0.5 tablets, but since tablets cannot be split without specific instructions, the nurse should administer 1 tablet as per standard practice.