A nurse is providing teaching for a client who has diabetes mellitus about the self-administration of insulin. The client has prescriptions for regular and NPH insulins. Which of the following statements by the client indicates an understanding of the teaching?
"I will store prefilled syringes in the refrigerator with the needle pointed downward."
"I will shake the NPH vial vigorously before drawing up the insulin."
"I will insert the needle at a 15-degree angle."
"I will draw up the regular insulin into the syringe first."
The Correct Answer is D
A) "I will store prefilled syringes in the refrigerator with the needle pointed downward.": While prefilled syringes should be stored in the refrigerator, they should actually be stored with the needle pointing upward. This prevents the insulin from settling at the needle end and ensures that the insulin is readily available for injection. This statement reflects a misunderstanding of proper storage techniques.
B) "I will shake the NPH vial vigorously before drawing up the insulin.": NPH insulin should be gently rolled between the palms rather than shaken vigorously. Shaking can cause air bubbles and damage the insulin. This statement indicates a lack of understanding of the proper technique for preparing NPH insulin.
C) "I will insert the needle at a 15-degree angle.": The correct angle for injecting insulin is typically 90 degrees (or 45 degrees for thin clients), not 15 degrees. This statement shows a misunderstanding of proper injection technique.
D) "I will draw up the regular insulin into the syringe first.": This statement indicates an understanding of the proper technique for mixing insulins. When using both regular and NPH insulins, the regular insulin should always be drawn up first to prevent contamination of the short-acting insulin with the longer-acting insulin. This response reflects correct knowledge regarding insulin administration.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is D
Explanation
A) "I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash." While it is essential to clean areas soiled with body fluids, using alcohol may not be the most effective method for disinfecting surfaces. Standard cleaning protocols typically recommend using bleach solutions or other EPA-registered disinfectants. Moreover, proper disposal of contaminated materials should be done according to local regulations to minimize the risk of exposure.
B) "I will need to take my clothes to the dry cleaners to sterilize them." This statement reflects a misunderstanding of infection control measures. While it is crucial to maintain hygiene, clothes worn by a person with AIDS do not necessarily need to be sterilized by dry cleaning. Regular washing in hot water and detergent is usually sufficient to ensure cleanliness and safety.
C) "I will increase the amount of fresh fruits and vegetables I consume." While a balanced diet is important for overall health, individuals with compromised immune systems, such as those with AIDS, should be cautious about consuming raw fruits and vegetables due to the risk of foodborne illnesses. This statement may indicate a lack of understanding of dietary precautions necessary to protect their health.
D) "I will be sure to wear gloves and wash my hands when I change my cat's litter box." This statement demonstrates an understanding of infection control measures. Wearing gloves helps prevent exposure to potentially harmful pathogens, and washing hands afterward is essential for maintaining hygiene. It reflects the client's awareness of the importance of protecting themselves from infections, which is critical for someone with a weakened immune system.
Correct Answer is A
Explanation
A) "Apply a second pair of gloves before touching the client's implant if it dislodges.": This is the correct action. If a sealed radiation implant dislodges, the nurse should wear a second pair of gloves to minimize exposure to radiation while handling the implant. This is a crucial safety measure to protect both the nurse and others in the environment.
B) "Limit family member visits to 30 min per day.": While it is important to limit the time family members spend with a patient who has a sealed radiation implant, the specific duration can vary based on institutional policies and the level of radiation. It may not be necessary to restrict visits to exactly 30 minutes.
C) "Give the dosimeter badge to the oncoming nurse at the end of the shift.": The dosimeter badge should not be passed to another nurse. Each nurse should wear their own badge to accurately measure their individual exposure to radiation. It should be kept by the individual nurse throughout their shifts.
D) "Remove soiled linens from the room after each change.": This statement is misleading. Soiled linens should be handled with care and may need to be treated as radioactive waste depending on the facility's protocols. They should not be removed without following proper safety and disposal guidelines.