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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.)

A.

If 60-124, no coverage

B.

If 125-150, give two units

C.

If 251-300, give eight units

D.

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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Related Questions

Correct Answer is A

Explanation

a) St. John's Wort is known to increase the risk of bleeding, especially when used with anticoagulant medications. This effect is particularly concerning and may require adjustments in the treatment plan.

b) While St. John's Wort can interact with various drugs, increasing the risk of bleeding is a more immediate concern.

c) St. John's Wort does not counteract the effects of CNS depressants; it may actually enhance the effects of these drugs.

d) St. John's Wort is known to induce the metabolism of some drugs, potentially reducing their effectiveness, but this is not as immediately concerning as the risk of bleeding.

Correct Answer is A

Explanation

a) Taking furosemide at 0800 is often recommended to promote diuresis during the day, allowing the client to manage fluid balance while awake and minimizing the need for frequent urination during the night.

b) Taking furosemide at 1900 may contribute to nocturnal diuresis, potentially affecting sleep.

c) Taking furosemide at 2200 is not ideal as it may lead to increased nighttime urination.

d) Taking furosemide at 1600 may not provide the optimal timing to balance diuretic effects throughout the day.

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