The nurse is precepting a student nurse on the medical-surgical unit. The student nurse is preparing to administer insulin. Which action by the student nurse calls for immediate intervention?

  • The student nurse verifies the insulin dose with another nurse.
  • The student nurse draws up regular insulin to be given intravenously.
  • The student nurse draws up intermediate-acting (NPH) insulin, and then regular insulin.
  • The student nurse draws up regular insulin, and then intermediate-acting (NPH) insulin.
Number 3 is correct.
If both regular and intermediate-acting (NPH) insulins are ordered for a client, the regular insulin should be drawn up first to prevent contamination with the intermediate-acting (NPH) insulin. Insulin is a high-alert drug that requires two nurses to verify the dosage. Regular insulin is the only type that may be given intravenously.