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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Taking sucralfate with an antacid is not recommended, as antacids can interfere with the effectiveness of sucralfate.
b) Sucralfate should be taken 30 to 60 minutes before meals to ensure optimal binding to the gastric mucosa and to form a protective barrier.
c) Taking sucralfate whenever indigestion occurs may not provide consistent protection, as its effectiveness is enhanced when taken before meals.
d) Taking sucralfate immediately after meals is not recommended, as it may interfere with its ability to form a protective coating on the gastric mucosa.
Correct Answer is ["0.3"]
Explanation
-
Convert the ordered dose from micrograms (mcg) to milligrams (mg):
- 300 mcg = 0.3 mg (since 1 mg = 1000 mcg)
-
Use the formula:
Dose to administer = (Desired Dose ÷ On-Hand Dose) × Quantity Available- Desired Dose (D) = 0.3 mg
- On-Hand Dose (H) = 1 mg
- Quantity Available (Q) = 1 mL
-
Calculate:
0.3 mg ÷ 1 mg × 1 mL = 0.3 mL
The nurse should administer 0.3 mL of the medication.
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