Nokea
The nurse is providing client education on self-administration of insulin. Which action by the client indicates the need for further education?
- A. The client gently rubs the insertion site after removing the needle.
- B. The client verifies the type of insulin and checks the expiration date.
- C. The client cleans and grasps the skin, inserting the needle at a 90-degree angle.
- D. The client cleans the rubber stopper on the bottle with an alcohol swab before drawing a dose.
Correct Answer: A
Rationale: Rubbing the injection site can cause tissue damage and affect insulin absorption, indicating a need for further teaching.
You may also like to solve these questions
The nurse is caring for a female client following the removal of the parathyroid glands. The client complains of a 'pins and needles' sensation and difficulty swallowing lunch. The nurse would expect which laboratory value to be abnormal?
- A. calcium
- B. potassium
- C. magnesium
- D. blood glucose
Correct Answer: A
Rationale: Parathyroidectomy can cause hypocalcemia, leading to paresthesia ('pins and needles') and dysphagia due to muscle dysfunction.
The nurse has orders for dopamine at 20 mcg/kg/min. The bag has 500 mg of dopamine in 500 mL. The client weighs 60 kg. What rate will the nurse set?
Correct Answer: 72 mL/hr
Rationale: Dose: 20 mcg/kg/min × 60 kg = 1200 mcg/min. Concentration: 500 mg/500 mL = 1 mg/mL = 1000 mcg/mL. Rate: 1200 mcg/min ÷ 1000 mcg/mL = 1.2 mL/min × 60 min/hr = 72 mL/hr.
The nurse is assisting a client who is to undergo a thoracentesis. Which of the following is the optimal position for the procedure?
- A. Lying prone with arms above head
- B. Side lying on the unaffected side
- C. Side lying on the affected side
- D. Upright position, leaning forward over an over-bed tray table
Correct Answer: D
Rationale: The upright position leaning forward (D) maximizes lung expansion and access to pleural fluid during thoracentesis.
While obtaining information about the client's current medication use, the nurse learns that the client takes ginkgo to improve mental alertness. The nurse should tell the client to:
- A. Report signs of bruising or bleeding to the doctor
- B. Avoid sun exposure while using the herbal
- C. Purchase only those brands with FDA approval
- D. Increase daily intake of vitamin E
Correct Answer: A
Rationale: Ginkgo can increase bleeding risk by affecting platelet function, so clients should report signs of bruising or bleeding to their physician.
The nurse is assisting a client with diverticulitis to select appropriate foods. Which food should be avoided?
- A. Bran
- B. Fresh peach
- C. Tomato and cucumber salad
- D. Dinner roll
Correct Answer: C
Rationale: Clients with diverticulitis should avoid foods with seeds, such as tomatoes and cucumbers, as they can irritate diverticula. Bran, peaches, and dinner rolls are generally safe.