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 C
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale
Abruptio placentae involves the premature separation of the placenta from the uterine wall, causing continuous abdominal pain and vaginal bleeding. This condition is a medical emergency that can compromise fetal and maternal health.
Choice B rationale
Premature rupture of membranes is characterized by the leaking or gushing of amniotic fluid, not continuous abdominal pain and vaginal bleeding. It usually doesn't present with severe pain unless there are complications like infection.
Choice C rationale
Placenta previa is where the placenta covers the cervical opening, causing painless vaginal bleeding. It typically does not involve continuous abdominal pain, distinguishing it from abruptio placentae.
Choice D rationale
Prolapsed cord occurs when the umbilical cord slips ahead of the baby during delivery, which is a different obstetric emergency. It does not present with continuous abdominal pain and vaginal bleeding.
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