A patient has been prescribed to receive 0.3 mL of U-500 insulin. Which syringe will the nurse use to administer the medication?
3-mL syringe
U-100 syringe
Needleless syringe
Tuberculin syringe
The Correct Answer is D
A. A 3-mL syringe is not appropriate for administering U-500 insulin, as the concentration may not allow for accurate dosing at such a small volume.
B. A U-100 syringe is designed for U-100 insulin and would not provide accurate measurement for U-500 insulin.
C. A needleless syringe may be useful in certain contexts, but it does not specifically provide the necessary precision for insulin dosage.
D. A tuberculin syringe is suitable for administering small doses (like 0.3 mL) and provides more accurate measurement for high-concentration insulin such as U-500.
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Correct Answer is B
Explanation
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B. A patient with a chest tube should never ambulate with the chest tube unclamped, as this can lead to a collapsed lung and respiratory distress; thus, this patient should be prioritized.
C. While a patient with thick secretions may need suctioning, this is not as critical as ensuring the safety of a patient with an unclamped chest tube.
D. A patient with a new tracheostomy requires monitoring, but the presence of the obturator indicates readiness for emergencies; this does not take priority over the safety of the patient with the chest tube.
Correct Answer is B
Explanation
A. Childhood obesity may indicate dietary and lifestyle issues but does not directly reflect sociocultural factors affecting developmental problems.
B. Prolonged poverty can significantly impact a child's development by limiting access to resources such as nutrition, education, and healthcare, thus signaling a potential developmental issue.
C. Family relocation can cause stress and adjustment challenges but is not as directly associated with long-term developmental problems as prolonged poverty.
D. Loss of stamina may be a physical issue but does not necessarily correlate with sociocultural factors that would indicate developmental concerns.