The client has an order for 30 units of U-500 insulin. The nurse ...

[ghost!]

The client has an order for 30 units of U-500 insulin. The nurse is using a U-100 syringe and will draw up and administer:
 
  1. 5 units
  2. 6 units
  3. 10 units
  4. 30 units

Question 2

A 3-year-old child is to receive an iron preparation orally. The nurse should:
 
  1. Use a straw
  2. Administer the medication by injection
  3. Mix the medication in water
  4. Ask the pharmacy to send up a pill for the child to swallow

[duy1981999]

Answer to Question 1

ANS: 2
U-500 insulin is 5 times as strong as U-100 insulin. Therefore the amount of U-500 insulin should be divided by 5. 30 units of U-500 insulin  5 = 6 units of insulin to draw into a U-100 syringe. Options 1, 3, and 4 are incorrect dosages.

Answer to Question 2

ANS: 1
Straws may help children swallow pills. If it is a liquid iron preparation, the straw may help the child as they are less able to see the medication and may see drinking from a straw as desirable. The child is to receive the medication orally. The oral route is preferred unless contraindicated. The medication should not be mixed with water as the child may refuse to drink all of the larger mixture, and water does not mask the flavor of the medication. Juice, a soft drink, or a frozen juice bar may be offered after a medication is swallowed. Many 3-year-olds have difficulty swallowing pills, and liquid forms are safer to swallow to avoid aspiration.

[ghost!]

Excellent

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