NCLEX-RN

Category - Pharmacological

A nurse is teaching a client with diabetes mellitus how to store, prepare, and administer NPH insulin with regular insulin. Which of the following statements indicates that the client needs further teaching?
  1. “When mixing NPH insulin and regular insulin, I will draw up the regular insulin first.”
  2. “Before use, the NPH bottle must be rolled to ensure that the insulin and the ingredients are mixed.”
  3. “I have to inject air into the regular insulin vial first before injecting air into the NPH vial.”
  4. “I can store the NPH vial at room temperature if it will be used up within a month.”
Explanation
Answer: C - When mixing regular insulin and NPH, draw up the regular insulin into the syringe first to prevent contamination. Air must be injected first into the NPH vial so that it can be drawn up once the regular insulin is already in the syringe.
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