{"id":136416,"date":"2024-09-10T15:01:49","date_gmt":"2024-09-10T15:01:49","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=136416"},"modified":"2024-09-10T15:01:51","modified_gmt":"2024-09-10T15:01:51","slug":"a-nurse-mixing-regular-insulin-and-nph-insulin-in-the-same-syringe-prior-to-administering-it-to-a-client-who-has-diabetes-mellitus","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/10\/a-nurse-mixing-regular-insulin-and-nph-insulin-in-the-same-syringe-prior-to-administering-it-to-a-client-who-has-diabetes-mellitus\/","title":{"rendered":"A nurse mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus"},"content":{"rendered":"\n

A nurse mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?<\/p>\n\n\n\n

A.
Withdraw the NPH insulin from the vial.<\/p>\n\n\n\n

B.
Inject air into the regular insulin vial.<\/p>\n\n\n\n

C.
Withdraw the regular insulin from the vial.<\/p>\n\n\n\n

D.
Inject air into the NPH vial.<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

The correct answer is:<\/p>\n\n\n\n

D. Inject air into the NPH vial.<\/strong><\/p>\n\n\n\n

Explanation:<\/strong><\/p>\n\n\n\n

When mixing insulin types, the sequence of actions is crucial to ensure proper dosing and prevent contamination. The standard procedure for mixing insulin involves using the correct order to avoid any issues with insulin effectiveness and contamination. Here’s a detailed explanation of why injecting air into the NPH vial first is essential:<\/p>\n\n\n\n

    \n
  1. Inject Air into NPH Vial (D)<\/strong>: Begin by injecting air into the NPH (Neutral Protamine Hagedorn) insulin vial first. This step is necessary because NPH insulin is a cloudy, long-acting insulin that requires the vial to be agitated gently before withdrawal. Injecting air into the vial creates a pressure equalization, which facilitates the withdrawal of the NPH insulin later. If you were to withdraw the NPH insulin first, the insulin could be contaminated by the regular insulin, which is a clear, short-acting insulin.<\/li>\n\n\n\n
  2. Inject Air into the Regular Insulin Vial (B)<\/strong>: After injecting air into the NPH vial, the next step is to inject air into the regular insulin vial. This step prevents the creation of a vacuum in the vial when the insulin is withdrawn, making it easier to pull the regular insulin into the syringe.<\/li>\n\n\n\n
  3. Withdraw the Regular Insulin (C)<\/strong>: With the air injected into the regular insulin vial, you can now withdraw the correct dose of regular insulin. Since regular insulin is clear, withdrawing it first prevents contamination of the clear insulin by the cloudy NPH insulin.<\/li>\n\n\n\n
  4. Withdraw the NPH Insulin (A)<\/strong>: Finally, withdraw the NPH insulin after removing the regular insulin. The sequence ensures that the regular insulin remains uncontaminated and maintains its clarity.<\/li>\n<\/ol>\n\n\n\n

    By following this sequence\u2014injecting air into the NPH vial first, then the regular insulin vial, withdrawing the regular insulin, and finally withdrawing the NPH insulin\u2014you ensure that the insulin types are mixed correctly and safely.<\/p>\n","protected":false},"excerpt":{"rendered":"

    A nurse mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first? A.Withdraw the NPH insulin from the vial. B.Inject air into the regular insulin vial. C.Withdraw the regular insulin from the vial. D.Inject […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-136416","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136416","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=136416"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136416\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=136416"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=136416"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=136416"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}