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112-T3 Skills
| Question | Answer |
|---|---|
| The nurse is preparing to mix short- and intermediate-acting insulins to administer to a patient. Which action best preserves the insulin’s effectiveness? | Refraining from injecting the intermediate-acting insulin into the short-acting vial |
| Refraining from injecting the intermediate-acting insulin into the short-acting vial will prevent the short-acting insulin vial from being | contaminated with intermediate-acting insulin |
| The patient is to receive both Lantus® (insulin glargine) and regular insulin. To ensure the proper action of the insulins, what would the nurse do when preparing these two types of insulin for administration? | Prepare the insulins in two syringes for separate injections. |
| When preparing an injection that contains both short- and intermediate-acting insulins, what is the first step the nurse would take to ensure the effectiveness of the injection? | Insert air into the intermediate-acting insulin. Air is injected into the intermediate-acting insulin before it is injected into the short-acting insulin |
| When preparing an injection of mixed insulin that includes 12 units of NPH and 5 units of regular insulin, how does the nurse initially confirm the proper dosage in the syringe? | By noting when 5 units of clear insulin is visible in the syringe |
| Clear insulin (Regular or Rapid-acting) is drawn first when mixing insulins because: | It prevents contamination of the clear insulin with cloudy insulin (e.g., NPH). Clear insulin acts faster and has a shorter duration, so its precise dosage is crucial. Drawing clear insulin first ensures its dose remains accurate and unaffected by the cloudy insulin. If cloudy insulin were drawn first, it could alter the concentration and effectiveness of the clear insulin. |
| Which action would the nurse take when mixing intermediate- and long-acting insulins together in one syringe? | This would not be done, prepare two injections. You never mix long-acting insulin with any other insulins |
| The nurse has selected a finger as the puncture site to measure the blood glucose level of a female patient with type 2 diabetes mellitus and peripheral vascular disease (PVD). Which action would be of particular benefit to this patient given her medical history? | The nurse would keep the finger in a dependent position to encourage blood flow to the intended puncture site. Blood flow to the extremities is compromised in patients with PVD. |
| The skill of blood glucose testing may not be delegated to NAP for the following situations. | -patient on steroid therapy - b/c medication makes BG unstable -patient wit N/V - b/c N/V make BG unstable -a patient who required insulin coverage at last testing??? |
| For which situation would the procedure of glucose testing be interrupted? | An unused lancet is not available. The unavailability of an unused lancet would preclude proceeding with blood glucose testing. A used lancet can never be reused, because of the risk for infection. The nurse must locate an unused lancet for the procedure |
| A patient with type 2 diabetes mellitus tells the nurse that he has been testing his own blood glucose level six times per day for the past 3 years. What is the most appropriate action for the nurse to take? | It is useful to evaluate the patient’s technique to ensure that he receives accurate results. This patient has been self-testing for several years, and there is no reason to advise him not to continue doing so |
| Which action would the nurse carry out first when performing a blood glucose test on a patient with type 1 diabetes mellitus? | The nurse’s first action would be to assess possible puncture sites |
| How can the nurse best ensure the patient’s safety when preparing insulin for administration? | Obtaining the patient’s current blood glucose level before administering insulin will best ensure the patient’s safety. |
| How would the nurse prepare insulin to ensure its efficacy? | Rolling the vial of insulin suspension before drawing up the medication ensures that particles of suspension are adequately distributed into the solution, ensuring efficacy |
| When will a patient’s blood glucose levels be most affected by a short-acting insulin injection, such as Humulin-R? | Short-acting insulin peaks in 2 to 3 hours |
| Which of the following statements is accurate regarding insulin administration? | Vials of insulin must be inspected before each use for changes in appearance. |
| To prevent hypoglycemia and enhance efficacy, it is appropriate to give rapid-acting insulin how many minutes before the next meal? | 5 to 15 minutes |
| Which action would the nurse take to diminish tissue irritation when administering a subcutaneous injection to a patient of average size? | Delivering a volume of less than 2 mL by subcutaneous injection will reduce the likelihood of tissue irritation |
| Which needle would be most appropriate for the nurse to use when giving a subcutaneous injection to a patient of average height and weight? | The 25-gauge, ⅜-inch needle is the correct gauge and length for a subcutaneous injection. -a 20 gauge would be too large -a 1-inch needle would be too long |
| What can the nurse do to minimize the discomfort of a subcutaneous injection? | Covering the nonintact skin of a subcutaneous injection site with a gauze pad, rather than with an alcohol swab, will reduce discomfort |
| When preparing to administer heparin or insulin subcutaneously, which site is preferred? | The abdomen is the preferred site for subcutaneous heparin or insulin injection. |
| What can the nurse do to ensure proper site selection for subcutaneous insulin injection? | Systematic rotation within one anatomical location will allow consistent insulin absorption |
Created by:
cnblake1
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