The physician orders intravenous (IV) insulin for the client with a blood sugar of 563. The nurse administers insulin lispro (Humalog) intravenously (IV). What does the best evaluation by the nurse reveal?
1. The nurse used the correct insulin.
2. The nurse should have contacted the physician prior to administration.
3. The nurse should have used regular insulin (Humulin R).
4. The nurse could have given the insulin subcutaneously.
3
Rationale 1: The nurse did not use the correct insulin as it was not regular insulin.
Rationale 2: There was no need to contact the physician; regular insulin is the only insulin that can be given intravenously (IV). The physician should be contacted now.
Rationale 3: Regular insulin is the only insulin that can be given intravenously (IV).
Rationale 4: The nurse cannot give the insulin subcutaneously when it is ordered to be given intravenously (IV).
Global Rationale: Regular insulin is the only insulin that can be given intravenously (IV). The nurse did not use the correct insulin as it was not regular insulin. There was no need to contact the physician; regular insulin is the only insulin that can be given intravenously (IV). The physician should be contacted now. The nurse cannot give the insulin subcutaneously when it is ordered to be given intravenously (IV).
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