Correct Answer: C

Rationale: The correct answer is C: Inject 4 units of air into the regular insulin vial. This action is done to prevent negative pressure in the vial, making it easier to withdraw the correct dose of insulin. By injecting air first, the nurse ensures that the exact amount of insulin can be withdrawn accurately without causing any damage to the vial or affecting the dose.


Choice A is incorrect as injecting air into the NPH insulin vial is not necessary before drawing up the insulin.
Choice B is incorrect as drawing up the NPH insulin before preparing the regular insulin would be out of sequence.
Choice D is incorrect as drawing up the regular insulin before injecting air into the vial could lead to difficulty in withdrawing the correct dose.

Correct Answer: C

Rationale: The correct answer is C: "I will take this medication right before I go to bed." Alendronate should be taken on an empty stomach, in the morning, at least 30 minutes before the first food, drink, or medication of the day. Taking it before bed ensures the client has an empty stomach.
Choice A is incorrect because orange juice can interfere with alendronate absorption.
Choice B is incorrect as sitting upright for 30 minutes after taking the medication is the recommended action.
Choice D is incorrect as alendronate is typically taken weekly, not monthly.

Correct Answer: A

Rationale: The correct answer is A: Tinnitus. Salicylism is a toxic condition caused by high levels of salicylates, such as aspirin, in the body. Tinnitus is a common early sign of salicylism due to its ototoxic effects on the auditory nerve. Nuchal rigidity, pharyngitis, and pruritus are not typically associated with salicylism. Nuchal rigidity is more indicative of meningitis, pharyngitis suggests a throat infection, and pruritus is itching which is not specific to salicylism.
Therefore, tinnitus is the most relevant finding in this context.

Correct Answer: B

Rationale: The correct answer is B: Urticaria. Penicillin G can cause allergic reactions like urticaria (hives) due to hypersensitivity. The nurse should monitor for skin rashes, itching, and swelling. Insomnia (
A), constipation (
C), and nocturia (
D) are not commonly associated with penicillin G. Insomnia is more related to central nervous system stimulants, constipation is not a common side effect of penicillin, and nocturia is increased nighttime urination which is not typically caused by penicillin.

Correct Answer: C

Rationale: The correct answer is C: Have the client lie on his left side for 5 min after insertion. This position promotes optimal absorption of the medication. When the client lies on the left side, gravity helps keep the suppository in place and allows it to dissolve and be absorbed more effectively through the rectal mucosa. This position also helps prevent the suppository from being expelled prematurely.


Choice A is incorrect because inserting the suppository 5 cm (2 in) is not necessary for proper administration.
Choice B is incorrect as lubricating the suppository is not essential for rectal administration.
Choice D is incorrect because warming the suppository is not required and may not be safe.

Choices E, F, and G are not provided, so they are not applicable in this scenario.