Ivy Tech, Pharmocology

Ivy Tech, Pharmocology ( 41 Questions)

When teaching a client how to self-administer their new prescription for 10 units of NPH insulin and 3 units of regular insulin, what should the nurse include?



Correct Answer: A

Choice A reason: This statement is true. When mixing NPH and regular insulin, the nurse should instruct the client to withdraw air into the NPH vial first, then into the regular vial, and then withdraw the regular insulin first, followed by the NPH insulin. This prevents contamination of the regular insulin by the NPH insulin.

 

Choice B reason: This statement is false. NPH and regular insulin can be mixed together in the same syringe, as long as the correct order of drawing up is followed. This reduces the number of injections and improves compliance.

 

Choice C reason: This statement is false. The client should test blood glucose at least once a day, or more frequently if indicated, while taking these meds. This helps to monitor the effectiveness and safety of the insulin therapy and adjust the dosage accordingly.

 

Choice D reason: This statement is false. The client should take these meds 15 to 30 minutes before meals, not on an empty stomach 2 hours before breakfast. This ensures that the peak action of the regular insulin coincides with the postprandial rise in blood glucose.




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