Nokea
The nurse is observing a staff member preparing regular insulin and NPH insulin in 1 syringe. The nurse should intervene if the staff member is observed
- A. Drawing up the NPH insulin after drawing up the regular insulin
- B. Injecting air into the regular insulin vial after injecting air into the NPH insulin vial
- C. Allowing the tip of the needle to touch the NPH insulin vial while injecting air into the vial
- D. cleaning the tops of both insulin vials with an alcohol swab prior to inserting the needle
Correct Answer: A
Rationale: When mixing regular and NPH insulin, regular (clear) insulin is drawn first to prevent contamination with NPH (cloudy) insulin, which could alter its action. Drawing NPH after regular (A) is incorrect and requires intervention. Injecting air into vials (B) follows the same order (NPH then regular), which is correct. Needle contact with the vial (C) is poor technique but less critical than incorrect insulin order.
You may also like to solve these questions
At 26 weeks gestation, a client is admitted to the ER stating that she has been having a painless bloody vaginal discharge since last evening. The nurse should give priority to:
- A. Reporting the findings to the physician
- B. Evaluating the color of the discharge
- C. Evaluating the client's vital signs
- D. Applying an external fetal monitor
Correct Answer: A
Rationale: Painless bleeding at 26 weeks suggests placenta previa or abruption, requiring immediate physician notification . Assessing discharge , vitals , or fetal monitoring follows reporting.
The nurse is reinforcing home care instructions for the parents of a child diagnosed with rotavirus infection. Which of the following statements by the parents indicate that the teaching has been effective? Select all that apply.
- A. Handwashing is extremely important in preventing the spread of rotavirus.
- B. I will observe my child for decreased urination and dry mucous membranes.
- C. I will resume breastfeeding as soon as my child’s diarrhea subsides.
- D. I will use commercial baby wipes containing alcohol during diaper changing.
- E. My child can spread the infection via contaminated toys, food, Honey, and hands.
Correct Answer: A,B,E
Rationale: Handwashing (A), monitoring dehydration (B), and recognizing transmission routes (E) are correct. Waiting to breastfeed (C) delays nutrition, and alcohol wipes (D) irritate skin, indicating ineffective teaching.
The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:
- A. Replenish her supply every three months.
- B. Take one every 15 minutes if pain occurs.
- C. Leave the medication in the brown bottle.
- D. Crush the medication and take it with water.
Correct Answer: C
Rationale: The client should leave the medication in the brown bottle because light deteriorates the medication. The supply should be replenished every six months, so answer A is incorrect. One tablet should be taken every five minutes times three, so answer B is incorrect. If the pain does not subside, the client should report to the emergency room. The medication should be taken sublingually and should not be crushed, so answer D is incorrect.
The nurse is preparing a client for a magnetic resonance cholangiopancreatography. Which statements by the client would require the nurse to obtain further assessment data? Select all that apply.
- A. I ate lunch about 4 or 5 hours ago.
- B. I got a rash the last time I had IV contrast.
- C. I had my last period 6 weeks ago.
- D. I have a hearing aid implanted in my ear.
- E. I smoked a cigarette about an hour ago.
Correct Answer: B,C,D
Rationale: A contrast allergy rash (B) requires premedication or alternative imaging. A possible pregnancy (C) needs confirmation due to MRI risks. A hearing aid implant (D) may be MRI-incompatible. Recent eating (A) is less critical unless sedation is planned, and smoking (E) is irrelevant.
The nurse is caring for a 7 year-old child who is being discharged following a tonsillectomy. Which of the following instructions is appropriate for the nurse to teach the parents?
- A. Report a persistent cough to the health care provider
- B. The child can return to school in 4 days
- C. Administer chewable aspirin for pain
- D. The child may gargle with saline as necessary for discomfort
Correct Answer: A
Rationale: Report a persistent cough to the health care provider. Persistent coughing may indicate bleeding, which requires immediate attention.