A patient is to receive two different kinds of insulin. What is the nurse's most appropriate action?
a. Prepare the regular (clear) insulin first.
b. Mix Lantus and Lente insulin in the same syringe.
c. Administer the rapid-acting insulin within 30 minutes of a meal.
d. Verify insulin dosage with another nurse after administration.
A
If regular and intermediate-acting insulin are ordered, prepare the regular insulin first to prevent contamination with the intermediate-acting insulin. Never mix insulin glargine (Lantus) or insulin detemir (Levemir) with other types of insulin. Inject rapid-acting insulins mixed with NPH insulin within 15 minutes before a meal. Verify insulin dosages with another nurse while you prepare them if required by agency policy.
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During an episode of acute mania a newly admitted client who is displaying hyperactive, restless,
and disorganized behavior goes into the dining room and begins to throw food and dishes. Verbal intervention is ineffective and seclusion is instituted. The items of documentation that should be included in the medical record include (more than one answer may be correct) A. 1750: Client entered dining room and began to shout and randomly throw food and dishes at walls and other clients. B. Continued to throw items despite limit setting and verbal redirection. Client refused to leave dining room. C. Client's behavior determined to pose a substantial risk of harm to others. Client escorted to seclusion without a struggle by four staff. D. Seclusion explained. Harmful items removed from room and person per unit protocol. E. 1800: prn lorazepam (Ativan) administered IM. F. 1815: Vital signs: blood pressure, 120/85 mm Hg; pulse, 90 beats/min; respirations, 22 breaths/min. Client lying on mattress. Chanting profanity.
A client reports taking a dietary supplement that is considered "natural." What should the nurse include when responding to this client?
a. Only organic substances are used b. The ingredients in the product are not processed c. The active ingredients are found naturally in the environment d. The product is not proven to be safe or without harmful effects
The nurse is obtaining a health history from a client. Which should the nurse recognize is the most efficient and low-cost method of providing individualized care?
A. Obtaining a psychosocial history. B. Obtaining a family history. C. Obtaining a past medical history. D. Obtaining a history of present illness.
Which of the following statements about the pulse is incorrect?
A) Pulse is the same in all arteries throughout the body. B) Pulse may be felt in both arteries and veins. C) Pulse indicates how well a person's cardiovascular system is working. D) Pulse is the pressure of blood felt against an artery's wall.