Insulin Injections and Delegation

An RN delegates the task of preparing and administering insulin to a PN. Which of the following actions by the PN would require immediate intervention by the RN?

After drawing up both short-acting and intermediate-acting insulin into one syringe, the nurse notices a small amount of the intermediate-acting insulin contaminating the short-acting insulin vial. What is the most appropriate action?

A client with diabetes mellitus is prescribed both NPH and regular insulin to be administered in the morning. The nurse recalls that mixing insulins involves injecting air into the NPH insulin first, then the regular insulin, followed by withdrawing the regular insulin, and then the NPH insulin. What is the primary rationale for this specific mixing sequence?

A nurse is preparing to administer a scheduled insulin injection to a client with type 1 diabetes mellitus. The nurse notes that the client's blood glucose level is 68 mg/dL. Which of the following actions should the nurse take first?

A nurse is educating a client with newly diagnosed diabetes mellitus on how to mix regular and NPH insulin. Which statement indicates the client needs further teaching?

The nurse is preparing to administer insulin to a client. After injecting air into both the NPH and regular insulin vials, the nurse withdraws the prescribed amount of regular insulin. While preparing to withdraw the NPH insulin, the nurse accidentally overdraws, resulting in too much NPH insulin in the syringe. What is the most appropriate action for the nurse to take?

A nurse is preparing to administer insulin to a client with a known latex allergy. Which intervention is most critical to ensure the client's safety?

A client who has type 1 diabetes mellitus and is being discharged home after hospitalization has a complex insulin regimen. Which nursing action is most important to ensure the client's ability to self-manage their insulin therapy safely at home?

The nurse is preparing two different types of insulin in one syringe for a client. After injecting air into both vials, the nurse withdraws the short-acting insulin first. What is the rationale for this action?

A nurse is administering insulin to a client with diabetes mellitus. Which action demonstrates the nurse's understanding of minimizing the risk of lipohypertrophy?

A nurse is teaching a client about administering insulin. Which statement indicates the need for further clarification?

A nurse is preparing to administer insulin to a patient. The vial of insulin is labeled '300 units/mL'. The order is for 20 units. Which syringe should the nurse use to measure the correct dose?

A nurse is about to administer an insulin injection to a client. After confirming the client's identity and reviewing the MAR, what is the nurse's priority action?

A registered nurse is teaching a practical nurse (PN) about mixing short-acting and intermediate-acting insulins. Evaluate which of the following actions, if performed by the PN, indicates a need for further teaching?

Which of the following is the MOST important step a nurse can take to prevent infection when preparing insulin for injection?

When preparing to administer insulin, the nurse notices the expiration date on the vial has passed. What is the most appropriate action for the nurse to take?

A nurse is teaching a client with diabetes mellitus how to self-administer insulin. Which of the following statements best reflects the nurse's understanding of adult learning principles?

A nurse is preparing an insulin injection for a client and identifies air bubbles in the syringe. Which of the following is the most appropriate action for the nurse to take?

A nurse is caring for a client who is receiving insulin. Which of the following assessment findings would warrant immediate intervention?

A nurse is preparing to administer a subcutaneous injection of insulin. Which of the following is the preferred angle of insertion for a client with a thin body build?

After administering insulin to a client, which of the following documentation details is MOST important for the nurse to record?

The physician has prescribed a weight-based sliding scale insulin for a client with diabetes. The order reads: “Blood glucose 150-200 mg/dL, administer 2 units lispro (Humalog); 201-250 mg/dL, administer 4 units lispro; 251-300 mg/dL, administer 6 units lispro; 301-350 mg/dL, administer 8 units lispro; >350 mg/dL, call physician.” The patient’s blood sugar is 349 mg/dL. How many units of insulin should the nurse administer?

Which of the following actions by the nurse is MOST important to ensure client safety after administering insulin?

A nurse is preparing to administer insulin via subcutaneous injection. What is the primary reason for using different anatomical sites?

A nurse is preparing to administer insulin to a client. Which of the following reflects the nurse's understanding of the importance of verifying the dose with another nurse?

A nurse is providing discharge instructions to a client who will be self-administering insulin at home. Which of the following instructions is MOST vital to include?

A nurse is caring for a client with diabetes mellitus who is scheduled to receive insulin. Prior to administering the insulin, the nurse notes that the client's blood glucose level is 280 mg/dL. Which of the following actions should the nurse take first?

A nurse is preparing to administer insulin to a client. Which of the following actions best demonstrates the nurse's understanding of the importance of proper technique?

A nurse is reviewing a client's medication history and notes that the client is taking a beta-blocker medication in addition to insulin. The nurse recognizes that the beta-blocker medication may: