The nurse is caring for a client with a serum blood glucose of 855 mg/dL who is to receive a continuous infusion of prescribed regular insulin 15 units/hr, IV. The pharmacy delivers regular insulin as 100 units in 100 ml of normal saline. How many milliliters per hour should the nurse administer to the client? Enter numeric value only.

Answer and Explanation

The Correct Answer is ["15"]

The desired insulin infusion rate is 15 units per hour.
The concentration of the insulin solution is 100 units in 100 mL.
This means there is 1 unit of insulin in every 1 mL of the solution (100 units ÷ 100 mL = 1 unit/mL).
To find the milliliters per hour to administer, we need to deliver 15 units per hour, and since there is 1 unit per mL, the flow rate will be: 15 units/hr ÷ 1 unit/mL = 15 mL/hr

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Correct Answer is A

Explanation

A. Fosphenytoin (Cerebyx) is correct to question as an initial treatment in status epilepticus. While fosphenytoin is used to prevent further seizures once initial control is achieved, it does not act quickly enough to stop active seizures. Therefore, it is not the first-line medication during the acute phase and should be questioned if ordered as the initial intervention.
B. Lorazepam is a benzodiazepine and is one of the first-line treatments for status epilepticus due to its rapid onset of action.
C. Phenobarbital can be used if benzodiazepines and phenytoin/fosphenytoin fail to control seizures, making it an appropriate option in refractory cases.
D. Diazepam is also a benzodiazepine effective for the acute management of status epilepticus, typically administered intravenously or rectally for rapid effect.

A. My doctor can change the settings as needed. B. I am so glad that I will never have another seizure. C. This devise will send electrical signals to my brain. D. I know a potential complication is a cough or throat spasm.

Correct Answer is B

Explanation

A. It is correct that the doctor can change the settings of the VNS as needed using a special programming device. This is a true and expected understanding.
B. Saying "I will never have another seizure" indicates a misunderstanding. While the vagal nerve stimulator can reduce the frequency and severity of seizures, it is not a cure and does not guarantee complete seizure prevention. This statement reflects unrealistic expectations and suggests the need for further teaching.
C. The VNS sends electrical signals to the brain via the vagus nerve to help prevent seizure activity—this is an accurate understanding of its function.
D. Cough or throat spasm is a known side effect or complication of VNS, so this statement reflects appropriate understanding.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering prescribed medication to a client experiencing status epilepticus. Which of the following medications should the nurse question?

Correct Answer is A

Explanation

The nurse has completed post-operative teaching for a client with a new vagal nerve stimulator (VNS). Which of the following statements by the client would indicate the need for more teaching?

Correct Answer is B

Explanation

The nurse is caring for a client newly diagnosed with diabetes mellitus who states, "I do not understand why I have diabetes when I try not to eat a lot of sugar." Which of the following responses should the nurse make?

The nurse is caring for a client who experiences migraines and reports seeing light flashes. The nurse should recognize this information as which of the following phases of a migraine?

The health care team is caring for a client in thyroid storm. Which of the following prescriptions should the nurse question?

The nurse is caring for a client receiving treatment for myxedema. The nurse should explain that warm blankets are used to warm the client instead of heating pads for which of the following reasons?

The nurse is caring for a client who is having an active seizure. Which of the following actions should the nurse take? Select all that apply.

The nurse is caring for a client with Graves' disease. The nurse understands that which of the following statements is true regarding this disorder?