The nurse instructs a patient's partner to administer subcutaneous regular Humulin insulin. What information should the nurse include in the partner's teaching?
a. Select a 25-gauge, 5/8-inch needle.
b. Massage the site after the injection.
c. Always insert the needle at a 90-degree angle.
d. Use a different injection site each time.
A
To ensure subcutaneous delivery of the insulin, the nurse instructs the partner to use a 25-gauge, 5/8-inch needle and to insert the needle at a 45- to 90-degree angle into the elevated skin area. The nurse instructs the partner to avoid massaging the injection site. The needle is inserted at a 45- to 90-degree angle, depending on the site and the amount of subcutaneous tissue present. Rotating sites is unnecessary with Humulin insulin because antibodies are much less likely to form and cause hypertrophy of tissue.
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The associate nurse manager is giving directions to the staff regarding a Joint Commission initiative. Some of the assignments seem to be the same. The staff are complaining among themselves about the confusion. How should the staff handle the situation?
A. Follow the directions even if there is duplication. B. Make an appointment with the nurse manager to discuss the associate nurse manager's behavior. C. Review the directions and identify the areas of duplication. D. Choose a representative to discuss the issue with the associate nurse manager.
What should a patient be encouraged to do before the initiation of any anti-HIV drug protocol?
a. Give up sexual activity for several months. b. Follow the strict dietary guidelines. c. Comply with the drug protocol. d. Involve the partner in a support program.
Several patients have been hospitalized for diagnosis of neurologic problems. Which patient will the nurse assess first?
a. Patient with a transient ischemic attack (TIA) returning from carotid duplex studies b. Patient with a brain tumor who has just arrived on the unit after a cerebral angiogram c. Patient with a seizure disorder who has just completed an electroencephalogram (EEG) d. Patient prepared for a lumbar puncture whose health care provider is waiting for assistance
________ If the answer results in a mixed number be sure to include a space between the whole number and the fraction. Example: 1 1/4 (read as one and one-fourth).
Fill in the blank(s) with the appropriate word(s).