A nurse is preparing to mix short-acting and intermediate-acting insulin in one syringe to administer to a client who has type 1 diabetes mellitus. Identify the sequence the nurse should follow. - correct answer 1: Draw up the volume of insulin from the intermediate-acting insulin vial.
2: Inje...
RN VATI Fundamentals Assessment 2024 A nurse is preparing to mix short-acting and intermediate-acting insulin in one syringe to administer to a client who has type 1 diabetes mellitus. Identify the sequence the nurse should follow. - correct answer ✔✔1: Draw up the volume of insulin from the intermediate-acting insulin vial. 2: Inject the volume of air equal to the amount of insulin to withdraw from the intermediate-acting insulin vial.
3: Inject the volume of air equal to the insulin dose form the short-acting insulin vial
4: Withdraw the prescribed amount of insulin form the short-acting insulin vial.
5: Withdraw the prescribed amount of insulin form the intermediate-acting insulin vial.
To mix insulin from two vials in the same syringe, the nurse should first draw up a volume of air equal to the volume of insulin from the intermediate-acting insulin vial. The nurse should then inject the volume of air equal to the amount of insulin to withdraw from the intermediate-acting insulin vial, making sure the needle does not touch the insulin. Next, the nurse should inject the volume of air equal to the insulin dose from the short-acting insulin vial. Then, the nurse should withdraw the prescribed amount of insulin from the short-acting insulin vial. Lastly, the nurse should withdraw the prescribed amount of insulin from the intermediate-acting insulin vial. The insulins are now mixed and ready to administer.
A nurse is assessing a client who wears partial dentures and reports mouth pain. Which of the following actions should the nurse take?
Provide the client with an alcohol-based mouthwash.
Instruct the client to brush their remaining teeth with a firm toothbrush. Advise the client to rinse their mouth and dentures after each meal.
Swab the client's mouth with lemon-glycerin sponges at bedtime. - correct answer ✔✔Advise the client to rinse their mouth and dentures after each meal.
The nurse should advise the client to rinse their mouth and dentures after each meal to remove food and particles and to promote healing of gums and oral mucosa.
The nurse should instruct the client to rinse their mouth four times each day with mild rinses, such as normal saline or sodium bicarbonate solution. The nurse should inform the client that mouthwashes containing alcohol dry the oral mucosa and can irritate tissue.
The nurse should instruct the client to brush their remaining teeth with a soft toothbrush at least twice each day to reduce the risk for gum abrasions.
The nurse should avoid using lemon-glycerin sponges because they can cause erosion of the client's tooth enamel, dry the mucous membranes, and increase the client's current discomfort.
A nurse is planning care for a client who has dysphagia and is at risk for aspiration. Which of the following referrals should the nurse make? - correct answer ✔✔Speech-language pathologist
The nurse should recommend a referral for a client who has dysphagia to a speech-language pathologist.
Clients who have dysphagia have difficulty swallowing and are at risk for aspiration. The speech-
language pathologist can perform a swallow study to determine the extent of the client's dysphagia and work with the client to develop new swallowing techniques.
A nurse is planning teaching for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse take prior to performing the teaching? (select all that apply) - correct answer ✔✔- Establish the client's learning needs
- Determine the client's literacy level
- Evaluate the client's readiness for learning - Identify the client's learning style
Establish the client's learning needs is correct. Prior to planning any teaching session, the nurse should perform a comprehensive assessment of the client's learning needs. This assessment incorporates information from the client's history and physical assessment, current health problems, understanding of and adherence to the prescribed treatment plan, and support system. Determine the client's literacy level is correct. Knowing the client's literacy level is an important factor in communicating with the client
and in delivering audiovisual presentations and written materials. If the client cannot understand the information the nurse presents, they will not learn. Evaluate the client's readiness for learning is correct.
The nurse should determine the client's physical readiness (pain control), emotional readiness (acceptance of diagnosis), and cognitive readiness (appropriate level of consciousness). Identify the client's learning style is correct. The best way to learn varies from client to client. Some people learn best by watching a demonstration, while others thrive in a group setting, and others prefer to read information on their own. In a group setting, the nurse should use a variety of styles to accommodate most learners.
A nurse is preparing to notify the provider about a change in a client's status. Which of the following information should the nurse plan to include in the "background" portion of the SBAR communication tool?
Client's present condition
Questions for the provider regarding client care
Physical findings
Previous treatments - correct answer ✔✔Previous treatments
The nurse should include previous treatments in the "background" portion of the SBAR communication tool. Other information the nurse should include in the "background" portion is the client's admission history, diagnosis, pertinent medical history, and code status. The nurse should include physical findings in the "assessment" portion of the SBAR communication tool. The nurse should include questions regarding client care in the "recommendation" portion of the SBAR communication tool. The nurse should include the client's present condition in the "situation" portion of the SBAR communication tool.
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