A client has been prescribed insulin based on carbohydrate counting adjustments. The carbohydrate ratio is 1:10, the premeal target blood sugar is 110, and the high blood sugar correction factor is 50. The client’s premeal blood sugar was 225 and they consumed the following for dinner: 6 ounces baked chicken breast (0 g), 1 cup brown rice (45 g), 1 cup steamed broccoli (12 g), 2 TBS margarine (0 g). How many units of insulin will the nurse administer for the carbohydrates that were consumed?

4.5 units

5.7 units

6.2 units

7.1 units

Answer and Explanation

The Correct Answer is B

Choice A rationale
This choice suggests that the nurse would administer 4.5 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice underestimates the amount of insulin needed, which could lead to hyperglycemia, or high blood sugar.
Choice B rationale
This choice is correct. The client’s carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This amount of insulin would help to properly metabolize the carbohydrates consumed and maintain the client’s blood sugar within the target range.
Choice C rationale
This choice suggests that the nurse would administer 6.2 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice overestimates the amount of insulin needed, which could lead to hypoglycemia, or low blood sugar.
Choice D rationale
This choice suggests that the nurse would administer 7.1 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice significantly overestimates the amount of insulin needed, which could lead to hypoglycemia, or low blood sugar.

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Correct Answer is B

Explanation

Choice A rationale
Prednisone is a corticosteroid, and one of its effects can be fluid retention, which can lead to an increase in blood pressure. Therefore, lowered blood pressure is not typically associated with prednisone use.
Choice B rationale
Abdominal distention can be a side effect of prednisone. This can occur due to fluid retention or increased appetite, both of which can be effects of prednisone.
Choice C rationale
Prednisone can actually cause an increase in blood glucose levels, not a reduction. This is because prednisone can stimulate the liver to release extra glucose and can also make body tissues less sensitive to insulin.
Choice D rationale
Weight gain, not weight loss, is a common side effect of prednisone. This can occur due to increased appetite and fluid retention.

A. Measure the correct dosage using the provided device. B. Record the amount that has been administered. C. Instruct the client to swish the nystatin around their mouth. D. Vigorously shake the nystatin bottle.

Correct Answer is D

Explanation

Choice A rationale
While measuring the correct dosage is an important step in administering nystatin, it is not the first step. The first step should always be to ensure that the medication is properly mixed to ensure an even distribution of the medication.
Choice B rationale
Recording the amount of medication administered is an important step in medication administration, but it is not the first step. The first step should be to ensure that the medication is properly mixed.
Choice C rationale
Instructing the client to swish the nystatin around their mouth is an important part of the administration process, but it is not the first step. The first step should be to ensure that the medication is properly mixed.
Choice D rationale
Vigorously shaking the nystatin bottle is the first step in administering nystatin. This ensures that the medication is properly mixed and that the patient will receive the correct dosage.

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Naxlex Comprehensive Predictor Exams

A client has just been prescribed prednisone. Which of the following assessment findings could be attributed to this medication?

Correct Answer is B

Explanation

When the nurse is about to administer nystatin, which has been prescribed by the physician for a client with an oral candida infection that includes the roof of the mouth and the back of the throat, what should be the first step?

Correct Answer is D

Explanation

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