The nurse is preparing to administer insulin to an underweight patient. Which action should the nurse take when providing this injection? Select all that apply.

A. Ensure insulin is at room temperature.
B. Make sure no air bubbles are present in the syringe.
C. Rotate injection sites.
D. Massage the site of insertion.
E. Insert the needle at a 90-degree angle.


Answer: C

Nursing

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The nurse notices the presence of periorbital edema when performing an eye assessment on a 70-year-old patient. The nurse should:

a. Check for the presence of exophthalmos. b. Suspect that the patient has hyperthyroidism. c. Ask the patient if he or she has a history of heart failure. d. Assess for blepharitis, which is often associated with periorbital edema.

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Which approaches should be included when teaching medication safety to an older, homebound adult? (Select all that apply.)

a. Always dispose of expired medications in the toilet or the sink; never throw them in the trash can. b. Never share medications with others. c. If a medication is not finished as prescribed, save it for future use. d. Keep medications in their original containers. e. Always request child-proof containers, even if the patient has trouble opening the lids.

Nursing

Which of the following is an aspect of trustworthiness used in evaluating the strength of evidence in a qualitative study?

A) Triangulation B) Reflexivity C) Reliability D) Credibility

Nursing

A patient has a cancer that has been TNM staged as T3 (1-4, size of primary tumor), N2 (0-3, degree of spread to regional lymph nodes), and M2 (0-1, presence of metastasis)

He has an as needed order of 4 mg of morphine intramuscularly every 3 to 4 hours. He requests another pain injection approximately hours after the last one. What is the most appropriate nursing action? a. Inform the patient that this narcotic may be given only every 4 hours to prevent addiction. b. Ignore the call bell for 20 minutes and then take at least 10 minutes to prepare and administer the injection. c. Give the morphine and evaluate the results of pain relief. Arrange for the physician to evaluate for breakthrough pain. d. Ask the family to assist in helping the pa-tient accept waiting longer to receive an addicting medication such as morphine.

Nursing