Nokea
The nurse is teaching a group of patients about self-administration of insulin. What content is important to include?
- A. Patients need to use the injection site that is the most accessible.
- B. If two different insulins are ordered, they need to be given in separate injections.
- C. When mixing insulins, the cloudy (such as NPH) insulin is drawn up into the syringe first.
- D. When mixing insulins, the clear (such as regular) insulin is drawn up into the syringe first.
Correct Answer: D
Rationale: When mixing insulins, clear (regular) insulin is drawn up first to prevent contamination with cloudy (NPH) insulin. Rotation of injection sites is necessary, and compatible insulins can be mixed in one syringe.
You may also like to solve these questions
A patient will be taking U-500 insulin. The nurse is reviewing the use of this drug. Which of these statements are true? (Select all that apply.)
- A. U-500 insulin is 5 times stronger than U-100 insulin.
- B. U-500 insulin syringes must be used when giving U-500 insulin.
- C. U-500 syringes can deliver 500 units of insulin.
- D. Each line on a U-500 syringe measures 5 units of U-500 insulin.
- E. U-500 insulin delivers a smaller dose of insulin in a single injection.
Correct Answer: A,B,D
Rationale: U-500 insulin is five times more concentrated than U-100, requires specific U-500 syringes, and each line measures 5 units. It delivers larger doses in smaller volumes, not smaller doses.
When teaching a patient who is starting metformin, which instruction by the nurse is correct?
- A. Take metformin if your blood glucose level is above 100 mg/dL.
- B. Take this 60 minutes after breakfast.
- C. Take the medication on an empty stomach 1 hour before meals.
- D. Take the medication with food to reduce gastrointestinal (GI) effects.
Correct Answer: D
Rationale: Metformin should be taken with food to minimize GI side effects like nausea and diarrhea. Timing with specific glucose levels or empty stomach is incorrect.
The nurse is teaching patients about self-injection of insulin. Which statement is true regarding injection sites?
- A. Avoid the abdomen because absorption there is irregular.
- B. Choose a different site at random for each injection.
- C. Give the injection in the same area each time.
- D. Rotate sites within the same location for about 1 week before rotating to a new location.
Correct Answer: D
Rationale: Rotating insulin injection sites within the same location (e.g., abdomen) for about 1 week ensures consistent absorption while preventing tissue damage. Random rotation or avoiding the abdomen is incorrect.
When administering morning medications for a newly admitted patient, the nurse notes that the patient has an allergy to sulfa drugs. There is an order for the sulfonylurea glipizide (Glucotrol). Which action by the nurse is correct?
- A. Give the drug as ordered 30 minutes before breakfast.
- B. Hold the drug, and check the order with the prescriber.
- C. Give a reduced dose of the drug with breakfast.
- D. Give the drug, and monitor for adverse effects.
Correct Answer: B
Rationale: Sulfa drug allergies may cross-react with sulfonylureas like glipizide, so the nurse must verify the order with the prescriber to ensure safety.
The insulin order reads 'Give 15 units insulin glargine, SUBQ, every evening after dinner.' Choose the proper syringe for this injection.
- A. interderm_1.PNG
- B. interderm_2.PNG
- C. interderm_3.PNG
- D. interderm_4.PNG
Correct Answer: B
Rationale: Insulin glargine requires an insulin syringe marked in units for accurate dosing. Other syringes (not specified in options) are not suitable for insulin administration.