1. 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 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.
2. 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.
, RN VATI Fundamentals
Assessment
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.
, RN VATI Fundamentals
Assessment
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 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.
3. 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 care for a client who has dysphagia and is at risk for
aspiration. Which of the following referrals should the nurse make?
4. - 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 teach-
ing 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, under-
standing 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
, RN VATI Fundamentals
Assessment
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
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