A client has a Sliding Scale for Insulin dosages sub-cut. The order is for Humulin Regular Insulin U-100 q6h as follows:
0-180 mg/dL No Coverage
181-240 mg/dL 2 units sub-cut 241-300 mg/dL 4 units sub-cut
301-490 mg/dL 6 units sub-cut
Greater than 400 mg/dL administer 8 units sub-cut and repeat finger stick in 2 hr, call MD/Provider At 3:30 PM. the client's finger stick is 164 mg/dL How much coverage should the patient receive?
6 Units Regular Insulin sub-cut
2 Units Regular Insulin sub-cut
0.5 Units Regular insulin sub-cut
No coverage
The Correct Answer is D
A) 6 Units Regular Insulin sub-cut:
According to the sliding scale, a blood glucose level of 164 mg/dL would not fall within the range requiring 6 units of insulin. The 6-unit dose is for blood glucose levels between 301-490 mg/dL. Since the client's reading of 164 mg/dL is lower than 181 mg/dL, this dosage is not applicable.
B) 2 Units Regular Insulin sub-cut:
This is also incorrect. The 2-unit dose is prescribed for blood glucose levels between 181-240 mg/dL. Since the client's reading is 164 mg/dL, it falls below this range, so 2 units is not appropriate.
C) 0.5 Units Regular insulin sub-cut:
This is not correct because there is no provision in the sliding scale for administering 0.5 units of insulin. The scale provides dosing for specific ranges and does not include fractional doses. Additionally, the blood glucose reading of 164 mg/dL does not require any insulin according to the prescribed sliding scale.
D) No coverage:
According to the sliding scale, a blood glucose level of 164 mg/dL falls within the 0-180 mg/dL range, which specifies no coverage or insulin administration. The sliding scale clearly indicates that no insulin is needed when the blood glucose level is within this range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Given:
Ordered dose of Diazepam: 4 mg
Concentration of Diazepam oral solution: 5 mg/5 mL
Step 1: Set up the proportion:
Desired dose (mg) / Volume to administer (mL) = Concentration (mg/mL)
Step 2: Substitute the values:
4 mg / Volume = 5 mg/5 mL
Step 3: Solve for the unknown volume:
Volume = 4 mg / (5 mg/5 mL)
Volume = 4 mg x (5 mL/5 mg)
Volume = 4 mL
Correct Answer is B
Explanation
A) Cardizem:
Cardizem (diltiazem) is a calcium channel blocker. Calcium channel blockers work by inhibiting the entry of calcium into the smooth muscle cells of the heart and blood vessels, which helps relax the blood vessels and lower blood pressure.
B) Labetalol:
Labetalol is a beta blocker and an alpha-1 blocker. It works by blocking both beta-adrenergic receptors (which help decrease heart rate and blood pressure) and alpha-1 receptors (which cause vasodilation). This dual action makes labetalol effective in treating high blood pressure, especially in patients with conditions like hypertension and hypertensive emergencies. It reduces heart rate and helps relax blood vessels, improving blood flow.
C) Losartan:
Losartan is an angiotensin II receptor blocker (ARB). ARBs work by blocking the effects of angiotensin II, a hormone that causes blood vessels to constrict. By blocking this effect, losartan helps lower blood pressure and is used in the treatment of hypertension and heart failure.
D) Simvastatin:
Simvastatin is a statin, which is a medication used to lower cholesterol levels. Statins work by inhibiting an enzyme involved in cholesterol production in the liver. They are used primarily to manage high cholesterol and reduce the risk of heart disease, but they do not have an effect on heart rate or blood pressure, unlike beta blockers.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.