Author Question: The nurse makes a home visit to a client with diabetes mellitus. During the visit, the nurse notes ... (Read 198 times)

robinn137 · **on:** Jul 23, 2018

The nurse makes a home visit to a client with diabetes mellitus. During the visit, the nurse notes that the client's 3-month supply of insulin vials that were delivered a week ago are not refrigerated. What is the best action by the nurse at this time?

1. Have the client place the insulin vials in the refrigerator.
2. Have the client discard the vials.
3. Instruct the client to label each vial with the date when opened.
4. Tell the client this is too much insulin to have on hand.

Question 2

The physician writes orders for the client with diabetes mellitus. Which order would the nurse validate with the physician?

1. Lantus insulin 20U BID
2. Administering regular insulin 30 minutes prior to meals
3. 5 units of Humalog/10 units NPH daily
4. Metformin (Glucophage) 1000 mg per day in divided doses

carlsona147 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Vials can be stored at room temperature up to one month. For longer storage, they should be refrigerated.
Rationale 2: There is no need to discard the vials.
Rationale 3: Writing the date of opening on the vial is good practice, but does not address the need to refrigerate additional vials.
Rationale 4: There is no indication that this is too much insulin to have on hand.

Answer to Question 2

Correct Answer: 1
Rationale 1: Lantus insulin is usually prescribed in once-a-day dosing so an order for BID dosing should be validated with the physician.
Rationale 2: Regular insulin is administered 30 minutes before meals.
Rationale 3: Humalog and NPH insulin can be mixed.
Rationale 4: Metformin (Glucophage) is often prescribed in divided doses of 1000 mg per day.