The patient's blood sugar level was 152 mg/dL at 1700 hr. How much insulin should be given using the following insulin sliding scale?
<70 - Initiate Hypoglycemia Protocol.
70-130 - 0 units.
131-180 - 2 units.
181-240 - 4 units.
241-300 - 6 units.
The Correct Answer is C
Choice A rationale
Initiating the Hypoglycemia Protocol is necessary when the blood sugar is <70 mg/dL to quickly raise blood glucose levels.
Choice B rationale
No insulin is administered when blood sugar levels are between 70-130 mg/dL as it is within the normal range.
Choice C rationale
Administering 2 units of insulin for blood sugar levels between 131-180 mg/dL helps lower glucose to the normal range.
Choice D rationale
Administering 4 units of insulin for blood sugar levels between 181-240 mg/dL is necessary to reduce hyperglycemia.
Choice E rationale
Administering 6 units of insulin for blood sugar levels between 241-300 mg/dL addresses more severe hyperglycemia.
Choice F rationale
Administering 8 units of insulin for blood sugar levels between 301-350 mg/dL is used to manage significant hyperglycemia.
Choice G rationale
Administering 10 units of insulin for blood sugar levels between 351-400 mg/dL is crucial for severe hyperglycemia.
Choice H rationale
Administering 12 units of insulin and calling the physician for blood sugar levels >400 mg/dL is critical for immediate medical intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The primary role of the nurse in genetic counseling is to provide support and answer any Questions the client may have, helping them to understand the information and make informed decisions.
Choice B rationale
While discussing testing risks and benefits is important, it is usually the role of the genetic counselor or physician to explain these aspects comprehensively. The nurse supports this process but does not typically lead it.
Choice C rationale
Performing tests and analyzing results are tasks that are typically carried out by specialized laboratory personnel or geneticists, not the nurse. The nurse's role is supportive rather than diagnostic.
Choice D rationale
The nurse may assist during a provider's consult, but this is not the primary role. The main role focuses on supporting the client through the counseling process and ensuring they understand and can make informed decisions.
Correct Answer is A
Explanation
Choice A rationale
Car seats should not be purchased used as their history is unknown. There might be unseen damages or recalls that could compromise the safety of the infant.
Choice B rationale
The chest clip should be at the infant's armpit level, not shoulder level. Incorrect positioning can affect the restraint system's efficiency.
Choice C rationale
Infants should not wear coats in their car seats because bulky clothing can prevent the harness from fitting snugly, reducing its effectiveness in a crash.
Choice D rationale
Infant car seats should remain rear-facing until at least the age of 2 or until they reach the maximum weight/height limit of the seat, not turn forward-facing at the first birthday.
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