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RECALLS 5 - NP4 Study Guide with Complete Answers.

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SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM type I, it is imperative that nurses must be knowledgeable about the different types of insulin and their respective duration to promote safe patient care. -- What is the duration of action of Humulin N? A. 18-24 hours B. 20-22 hours C. 21-23 hours D. 16-20 hours - Answer A. 18-24 hours SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM type I, it is imperative that nurses must be knowledgeable about the different types of insulin and their respective duration to promote safe patient care. -- What is the duration of action of Lantus? A. 24 hours B. 5-12 hours C. 5-7 hours D. 20-24 hours - Answer A. 24 hours SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM type I, it is imperative that nurses must be knowledgeable about the different types of insulin and their respective duration to promote safe patient care. -- What is the duration of action of Humulin R? A. 5-7 hours B. 6-12 hours C. 8-9 hours D. 1-2 hours - Answer A. 5-7 hours

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RECALLS 5 - NP4 Study Guide with
Complete Answers.
SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM
type I, it is imperative that nurses must be knowledgeable about the different types of insulin
and their respective duration to promote safe patient care.

--

What is the duration of action of Humulin N?



A. 18-24 hours

B. 20-22 hours

C. 21-23 hours

D. 16-20 hours - Answer A. 18-24 hours



SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM
type I, it is imperative that nurses must be knowledgeable about the different types of insulin
and their respective duration to promote safe patient care.

--

What is the duration of action of Lantus?



A. >24 hours

B. 5-12 hours

C. 5-7 hours

D. 20-24 hours - Answer A. > 24 hours



SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM
type I, it is imperative that nurses must be knowledgeable about the different types of insulin
and their respective duration to promote safe patient care.

--

What is the duration of action of Humulin R?



A. 5-7 hours

B. 6-12 hours

C. 8-9 hours

D. 1-2 hours - Answer A. 5-7 hours

,SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM
type I, it is imperative that nurses must be knowledgeable about the different types of insulin
and their respective duration to promote safe patient care.

--

What is the duration of action of Apidra?



A. 3-5 hours

B. 6-7 hours

C. 6-9 hours

D. 6-8 hours - Answer A. 3-5 hours



SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM
type I, it is imperative that nurses must be knowledgeable about the different types of insulin
and their respective duration to promote safe patient care.

--

The nurse is administering the initial dose of a rapid-acting insulin to a client with DM type I.
The nurse should asses the client for hypoglycemia within:



A. 3 hours

B. 0.5 hours

C. 1 hours

D. 2 hours - Answer A. 3 hours



SITUATION: Mr. Ibarra is assigned to the triage area and while on duty, he assesses the condition
of Mrs. Simon who came in with asthma. She has difficulty breathing and her respiratory rate is
40 per minute. Mr. Ibarra is asked to inject the client epinephrine 0.3mg subcutaneously.

--

The indication for epinephrine injection for Mrs. Simon is to:



A. Reduce anaphylaxis

B. Relieve hypersensitivity to allergen

C. Relieve respiratory distress due to bronchial spasm

D. Restore client's cardiac rhythm - Answer C. Relieve respiratory distress due to bronchial
spasm



SITUATION: Mr. Ibarra is assigned to the triage area and while on duty, he assesses the condition
of Mrs. Simon who came in with asthma. She has difficulty breathing and her respiratory rate is
40 per minute. Mr. Ibarra is asked to inject the client epinephrine 0.3mg subcutaneously.

,--

When preparing the epinephrine injection from an ampule, the nurse initially:



A. Taps the ampule at the top to allow fluid to flow to the base of the ampule

B. Checks expiration date of the medication ampule

C. Removes needle cap of syringe and pulls plunger to expel air

D. Breaks the neck of the ampule with a gauze wrapped around it - Answer B. Checks
expiration date of the medication ampule



SITUATION: Mr. Ibarra is assigned to the triage area and while on duty, he assesses the condition
of Mrs. Simon who came in with asthma. She has difficulty breathing and her respiratory rate is
40 per minute. Mr. Ibarra is asked to inject the client epinephrine 0.3mg subcutaneously.

--

Mrs. Simon is obese. When administering a subcutaneous injection to an obese patient. It is
best for the nurse to:



A. Inject needle at a 15 degree angle over the stretched skin of the client

B. Pinch skin at the injection site and use airlock technique

C. Pull skin of patient down to administer the drug in a Z track

D. Spread skin or pinch at the injection site and inject needle at a 45-90 degree angle - Answer
D. Spread skin or pinch at the injection site and inject needle at a 45-90 degree angle



SITUATION: Mr. Ibarra is assigned to the triage area and while on duty, he assesses the condition
of Mrs. Simon who came in with asthma. She has difficulty breathing and her respiratory rate is
40 per minute. Mr. Ibarra is asked to inject the client epinephrine 0.3mg subcutaneously.

--

When preparing for a subcutaneous injection, the proper size of syringe and needle would be:



A. Syringe 3ml and needle gauge 21 to 23

B. Tuberculin syringe 1 ml with needle gauge 26 or 27

C. Syringe 2ml and needle gauge 22

D. Syringe 1-3ml and needle gauge 25 to 27 - Answer D. Syringe 1-3ml and needle gauge 25-27



SITUATION: Mr. Ibarra is assigned to the triage area and while on duty, he assesses the condition
of Mrs. Simon who came in with asthma. She has difficulty breathing and her respiratory rate is
40 per minute. Mr. Ibarra is asked to inject the client epinephrine 0.3mg subcutaneously.

--

The rationale for giving medications through the subcutaneous route is:

, A. There are many alternative sites for subcutaneous injection

B. Absorption time of the medicine is slower

C. There are less pain receptors in this area

D. The medication can be injected while the client is in any position - Answer B. Absorption
time of the medicine is slower



SITUATION: The use of massage and meditation to help decrease stress and pain have been
strongly recommended based on documented testimonials.

--

Martha wants to do a study on the topic. "Effects of massage and meditation on stress and
pain." The type of research that best suits this topic is:



A. Applied research

B. Qualitative research

C. Basic research

D. Quantitative research - Answer B. Qualitative research



SITUATION: The use of massage and meditation to help decrease stress and pain have been
strongly recommended based on documented testimonials.

--

The type of research design that does not manipulate independent variable is:



A. Experimental design

B. Quasi-experimental design

C. Non-experimental design

D. Quantitative design - Answer C. Non-experimental design



SITUATION: The use of massage and meditation to help decrease stress and pain have been
strongly recommended based on documented testimonials.

--

This research topic has the potential to contribute to nursing because it seeks to:



A. Include new modalities of care

B. Resolve a clinical problem

C. Clarify an ambiguous modality of care

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