|
Intake Name |
Intake Time |
Intake Consumed |
|
1 apple |
0815 |
15 grams carbohydrate |
|
8 ounces of milk |
0815 |
12 grams carbohydrate |
|
Bowl of cereal |
0815 |
48 grams carbohydrate |
|
2 pieces of toast |
0815 |
15 grams carbohydrate |
The nurse is preparing to administer insulin to a child per the following prescription: Administer 1 unit of regular insulin for every 15 grams of carbohydrates consumed. Based on the breakfast consumed above, how many units of regular insulin should the nurse administer? Record your answer using a whole number.
The Correct Answer is ["6"]
Step 1: Calculate total carbohydrate intake
- 1 apple = 15 g
- 8 oz milk = 12 g
- Bowl of cereal = 48 g
- 2 pieces of toast = 15 g
Total carbohydrates:
15 + 12 + 48 + 15 = 90 g
Step 2: Determine insulin dose
Prescription: 1 unit per 15 g carbohydrate
Insulin dose = 90 ÷ 15 = 6 units
Final Answer: 6 units
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hearing loss in newborns is typically associated with genetic factors, congenital infections (e.g., CMV), or exposure to ototoxic medications. Maternal smoking has not been shown to directly cause hearing deficits, though it can indirectly affect overall fetal development.
B. Congenital heart defects are linked to genetic mutations, maternal diabetes, or teratogenic exposures (like certain medications or alcohol). Cigarette smoking has not been strongly correlated with structural heart anomalies.
C. Type 1 diabetes mellitus is an autoimmune disorder with genetic predisposition. Maternal smoking does not increase the risk of autoimmune diabetes in offspring.
D. Intrauterine growth restriction (IUGR) is a well-documented risk of maternal smoking. Nicotine and carbon monoxide reduce placental blood flow and oxygen delivery, impairing fetal nutrient supply, which can result in low birth weight, preterm birth, and increased neonatal morbidity.
Correct Answer is B
Explanation
A. Maternal blood glucose assessment is unrelated to magnesium sulfate toxicity and would not address the immediate life-threatening issue.
B. Discontinuing magnesium sulfate is the priority because the client is showing signs of magnesium toxicity—respiratory depression and absent deep-tendon reflexes. Immediate cessation of the infusion prevents further complications. The nurse should also notify the provider and be prepared to administer calcium gluconate, the antidote for magnesium toxicity.
C. Preparing for cesarean birth may be necessary depending on maternal-fetal status, but the immediate threat is respiratory compromise from toxicity, which takes precedence.
D. Trendelenburg position does not correct magnesium toxicity and is not indicated; respiratory support and stopping the infusion are urgent priorities.
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