A nurse is caring for a client on an insulin drip for their diabetic ketoacidosis (DKA). The provider ordered 0.1 unit/kg/hr. The client’s weight is 88 lbs. How many units of insulin will the nurse program the pump to infuse per hour? Round to the nearest tenth.
The Correct Answer is ["4"]
Choice A reason: To calculate insulin dose: 88 lbs ÷ 2.2 = 40 kg (client’s weight); 40 kg × 0.1 unit/kg/hr = 4 units/hr. This dose, rounded to the nearest tenth, delivers insulin to suppress ketogenesis and correct hyperglycemia in DKA, ensuring precise metabolic control via intravenous infusion.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
Choice A reason: To calculate insulin dose: 88 lbs ÷ 2.2 = 40 kg (client’s weight); 40 kg × 0.1 unit/kg/hr = 4 units/hr. This dose, rounded to the nearest tenth, delivers insulin to suppress ketogenesis and correct hyperglycemia in DKA, ensuring precise metabolic control via intravenous infusion.
Correct Answer is A
Explanation
Choice A reason: A high carbohydrate diet is appropriate for viral hepatitis, as it provides energy to support liver recovery, sparing protein for tissue repair. Carbohydrates reduce glycogen depletion, supporting hepatocytes’ metabolic needs during viral inflammation, improving malaise and aiding recovery without taxing the liver.
Choice B reason: Including only high protein snacks is inappropriate, as excessive protein can strain the liver in viral hepatitis, increasing ammonia production and risking encephalopathy. A balanced diet with moderate protein is preferred, making this choice incorrect for supporting liver function.
Choice C reason: Administering acetaminophen for pain is risky in viral hepatitis, as the liver’s impaired metabolism increases toxicity risk, potentially causing hepatotoxicity. Safer analgesics or non-pharmacologic measures are preferred to manage discomfort, making this an inappropriate intervention for this condition.
Choice D reason: Encouraging three large meals daily may overwhelm the liver’s capacity in viral hepatitis, exacerbating nausea and diarrhea. Smaller, frequent, high-carbohydrate meals are better tolerated, supporting energy needs without straining digestion, making this choice less effective for symptom management.
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