When preparing to administer insulin glargine to a client, which ...

[rl]

When preparing to administer insulin glargine to a client, which of the following would be appropriate for the nurse to do? Select all that apply.
 
  A) Check the expiration date on the vial.
  B) Shake the vial vigorously.
  C) Check the physician's orders for the type and dosage of insulin.
  D) Remove all air bubbles from the syringe barrel.
  E) Mix with short-acting insulin prior to administration.

Question 2

After administering insulin detemir to a client with diabetes, the nurse suspects that the client is developing hypoglycemia based on assessment of which of the following? Select all that apply.
 
  A) Increased thirst
  B) Increased urination
  C) Headache
  D) Confusion
  E) Diaphoresis

[Missbam101]

Answer to Question 1

Ans: A, C, D
Feedback:
Prior to administering insulin glargine (Lantus) to a client, the nurse must complete the following preadministration steps: carefully check the physician's order for the type and dosage of insulin, check the expiration date on the vial, gently rotate the vial between the palms of the hands, gently tilt end to end before withdrawing the insulin, and remove all air bubbles from the syringe barrel. The nurse should never mix or dilute insulin glargine (Lantus) with any other insulin or solution because the insulin will not be effective.

Answer to Question 2

Ans: C, D, E
Feedback:
The symptoms of hypoglycemia include fatigue, weakness, nervousness, agitation, confusion, headache, diplopia, convulsions, dizziness, unconsciousness, hunger, nausea, diaphoresis, and numbness or tingling of the lips or tongue. Increased thirst and urination suggest hyperglycemia.

[rl]

Thanks for the timely response, appreciate it

[amit]

Excellent