A client is to receive a continuous infusion of IV Insulin at 6 units per hour. Pharmacy delivers a concentration of 75 units of regular insulin in 150 mL of NSS. At what rate should the nurse set the IV pump?

Answer and Explanation

The Correct Answer is ["12"]

Calculate the dilution factor of the insulin solution:
- Dilution factor = Total volume / Insulin units
- Dilution factor = 150 mL / 75 units
- Dilution factor = 2 mL/unit
Determine the volume of the insulin solution needed to deliver 6 units/h:
- Volume = Desired dosage * Dilution factor
- Volume = 6 units/h * 2 mL/unit
- Volume = 12 mL/h

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Correct Answer is A

Explanation

A. The initial assessment describes a state of confusion where the patient is awake but experiencing forgetfulness and difficulty following commands. The subsequent assessment indicates lethargy, as the patient is now sleepy and has slow responses, which aligns with the definitions of confusion and lethargy.
B. While confusion is present in the first assessment, stupor describes a state of near-unconsciousness, which does not match the second assessment.
C. Although lethargy is appropriate for the second assessment, obtunded refers to a state where the patient is less aware and has difficulty arousing, which is not accurately described here.
D. The first assessment indicates confusion, but the patient is not fully conscious as described in the second assessment, which does not align with this option.

A. to continue the antiepileptic drug to prevent seizure activity B. morphine will be administered post-op for adequate pain control C. to continue taking the daily Aspirin until the day of surgery D. to continue the use of alternative or complementary therapies with family approval

Correct Answer is A

Explanation

A. Continuing antiepileptic drugs is crucial in patients with brain tumors, as these medications help prevent seizure activity, which is a common complication associated with brain tumors and surgical procedures.
B. While pain control is important, the specific medications used for postoperative pain management are determined after surgery; patients should be informed about general pain management strategies rather than specific drug administration.
C. Aspirin, an anticoagulant, should typically be stopped before surgery to reduce the risk of bleeding complications; therefore, patients should not continue taking it unless specifically directed by their healthcare provider.
D. Patients are usually advised to discontinue alternative or complementary therapies before surgery due to potential interactions with anesthesia or surgical procedures, and it should be clarified with the healthcare provider before proceeding.

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A client is to receive a continuous infusion of IV Insulin at 6 units per hour. Pharmacy delivers a concentration of 75 units of regular insulin in 150 mL of NSS. At what rate should the nurse set the IV pump?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is caring for a client who will undergo a cerebral biopsy for a brain tumor. The client's pre-operative teaching should include:

Correct Answer is A

Explanation

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