The nurse is scheduled to administer lispro insulin per sliding scale before meals. The serum blood glucose reading before lunch is 152 mg/dl. Given the following sliding scale, how much insulin lispro should be given before lunch? (Select the appropriate parameter.)

If 60-124, no coverage

If 125-150, give two units

If 251-300, give eight units

If 201-250, give six units

Answer and Explanation

Correct Answer : D

The blood glucose reading before lunch falls within the range of 201-250 mg/dl according to the sliding scale, and the corresponding instruction is to give six units of lispro insulin.

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Correct Answer is D

Explanation

a) Checking the pulse is not directly related to the use of inhaled steroids. It's important for assessing certain medications, but not for inhaled steroids.

b) Taking the medication before eating is not a specific recommendation for inhaled steroids. It's more important to follow the specific instructions provided for the particular medication.

c) Limiting caffeine intake is not a standard recommendation for the use of inhaled steroids. This action is not directly related to potential complications with these medications.

d) Rinsing the mouth after inhaling the medicine is crucial to prevent the development of oral candidiasis, a common complication associated with inhaled steroids.

A. The temperature is above 100.4 degrees Fahrenheit (38 degrees Celsius). B. The blood pressure is above 140 mm Hg systolic. C. Respiratory rate of 10 breaths per minute with an oxygen saturation level of 86%. D. The heart rate is above 90 beats per minute.

Correct Answer is C

Explanation

A) Elevated temperature is not a typical reason to withhold morphine unless there are other concerns, such as infection.

B) Elevated blood pressure alone is not a reason to withhold morphine, but it should be considered in the context of the overall clinical picture.

C) A respiratory rate of 10 breaths per minute with low oxygen saturation indicates respiratory depression, which is a significant concern and a reason to withhold morphine.

D) An elevated heart rate alone is not a reason to withhold morphine, but it should be considered in the context of the overall clinical picture.

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The nurse is scheduled to administer lispro insulin per sliding scale before meals. The serum blood glucose reading before lunch is 152 mg/dl. Given the following sliding scale, how much insulin lispro should be given before lunch? (Select the appropriate parameter.)

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has asthma the appropriate use of inhaled fluticasone. What advice should the nurse give to help the client avoid complications with the use of inhaled steroids?

Correct Answer is D

Explanation

Which of these situations would cause the nurse to hold a dose of morphine?

Correct Answer is C

Explanation

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