Practice Question
A nurse is preparing to mix Neutral Protamine Hagedorn (NPH) insulin and regular insulin in the same syringe for administration to a client with type 1 diabetes. Which action should the nurse take first?
Answer Choices:
Correct Answer:
Check the labels and expiration dates of the insulin vials.
Rationale:
⭐ The first action in medication administration is always to ensure safety—this includes verifying the right medication, concentration, and expiration date before preparing or mixing.
⭐ After confirming the correct vials, the nurse would then gently roll the NPH vial to resuspend the insulin (since it is cloudy).
⭐ Next, the nurse inserts air into the NPH vial first (without withdrawing insulin yet), then air into the regular insulin vial, followed by withdrawing regular (clear) insulin before NPH (cloudy).
⭐ This prevents contaminating the regular insulin with the longer-acting suspension and ensures accurate dosing.
⭐ Checking labels and expiration dates first protects the client from medication errors and is consistent with the five rights of medication administration.
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This question is from Examplify W4 NR325 NR330 Exam 1 which contains 57 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 4