The nurse prepares an insulin injection for the client who has diabetes mellitus. Which does the nurse implement for insulin administration?
1. Gives regular insulin within 15 to 30 minutes of meals
2. Stores sealed, unused insulin vials at room temperature
3. Examines vials of NPH insulin for abnormal cloudiness
4. Administers NPH insulin for sliding-scale insulin dosing
1
1. The nurse administers regular insulin subcutaneously within 15 to 30 minutes of the client's meal because it starts to work in 30 minutes to 1 hour; thus, the client eats around the same time as the insulin administration to avoid severe hyperglycemia (occurs if client eats and does not take insulin) or hypoglycemia (does not eat and takes insulin).
2. Sealed, unused insulin is generally stored in a refrigerator to prevent decomposi-tion.
3. NPH insulin has a cloudy appearance.
4. Regular insulin is used for sliding-scale insulin and as needed insulin.
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