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    ATI RN Pharmacology 2023 IV proctored exam

    A nurse is 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?

    Explanation & Rationale

    C. Similar to regular insulin, injecting air into the NPH insulin vial helps maintain proper pressure and facilitates accurate withdrawal of the desired dose. Injecting air into the NPH vial ensures that the insulin can be withdrawn smoothly and accurately, avoiding any potential complications in mixing or administration.A. Before withdrawing insulin from a vial, it's standard practice to inject air into the vial to equalize the pressure and facilitate smooth withdrawal of the desired dose. Injecting air into the regular insulin vial allows for easy withdrawal of the correct amount of insulin without creating a vacuum that could hinder accurate measurement.B. NPH insulin is cloudy and needs to be gently agitated (rolled between palms) to ensure uniform suspension before withdrawal. Drawing NPH insulin first ensures that any insulin adhering to the needle from the regular insulin does not contaminate the NPH insulin vial. This sequence helps maintain the proper concentration of each insulin type.D. After injecting air into the regular insulin vial, the nurse should withdraw the appropriate amount of regular insulin from the vial. Drawing regular insulin after NPH insulin ensures that the two types of insulin do not mix prematurely in the syringe, which could alter their pharmacokinetics and efficacy.

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