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    ATI LPN Pharmacology Proctored Exam

    A patient is to receive insulin Regular and insulin NPH. How will the nurse draw up the insulins for administration?

    Explanation & Rationale

    Choice A reason: Separate syringes increase injection sites and patient discomfort; mixing is standard as Regular and NPH are compatible, optimizing insulin delivery efficiency and absorption. Choice B reason: Drawing Regular (clear) before NPH (cloudy) in one syringe prevents contamination of the short-acting vial with the intermediate-acting insulin, ensuring accurate dosing and stability. Choice C reason: Shaking insulin damages its structure; NPH requires gentle rolling to mix, while Regular needs no mixing, making vigorous shaking inappropriate for preparation. Choice D reason: Drawing NPH first risks contaminating the Regular vial with NPH particles, altering its rapid action; the clear-to-cloudy sequence maintains insulin integrity and efficacy.

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