The nurse receives an order to administer 8 units regular insulin and 20 units NPH insulin before breakfast. Using a U-100 syringe, the nurse would prepare this dose by:

1. drawing up 8 units NPH, then 20 units regular in the same syringe.
2. drawing up 8 units regular in one syringe, and 20 units NPH in a separate syringe.
3. drawing up 8 units regular, then 20 units NPH in the same syringe.
4. giving the 20 units NPH insulin 15 minutes before food, and the 8 units regular when the food arrives.


3
When the order calls for two different types of insulin, both may be given at the same time in the same syringe. Draw up the short-acting (regular) clear insulin first, then the intermediate or longer-acting cloudy type.

Nursing

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The nurse suggests that the client should try a mu-agonist type of opioid, which is often effective in managing pain, such as

a. acetaminophen. b. hydromorphone. c. ibuprofen. d. naproxen.

Nursing

A client with asthma has been having frequent asthma attacks. What is the nurse's best action?

a. Teach the client to stay away from pets. b. Assist the client in using an incentive spi-rometer. c. Administer aspirin for its an-ti-inflammatory properties. d. Administer montelukast (Singulair).

Nursing

A patient diagnosed with systemic lupus erythematosus exhibits a facial rash. What instruction should the nurse provide regarding skin care? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. Avoid being out of doors during the hours of greatest sun intensity. 2. Use sunscreen if sun exposure is possible. 3. Apply hydrocortisone cream 1% to the rash 4 to 6 times per day. 4. Wash the rash with antibacterial soap three times a day. 5. Swim in a chlorinated pool for relief of burning.

Nursing

The nurse is conducting health screening at a community clinic. The client has asked whether there are any risks with body piercing and tattooing, or whether these activities would impact sexual activity. How should the nurse respond?

1. "You should avoid piercing your genitalia and your nipples." 2. "There are no problems that occur with either body piercing or tattooing." 3. "Both piercing and tattooing carry risks of infection, including hepatitis." 4. "The benefit of body art outweighs any risk of infection of a tattoo or piercing."

Nursing