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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale

G6PD deficiency is an inherited condition affecting red blood cells but does not increase the risk of postpartum hemorrhage.

Choice B rationale

Von Willebrand disease is a bleeding disorder that can lead to excessive bleeding, increasing the risk of postpartum hemorrhage due to impaired blood clotting.

Choice C rationale

History of hyperemesis gravidarum is associated with severe nausea and vomiting in pregnancy but does not increase the risk of postpartum hemorrhage.

Choice D rationale

Peripheral artery disease affects blood flow to the limbs and does not directly increase the risk of postpartum hemorrhage.

A. The client will be positioned in a prone position. B. The ultrasound will occur at 13 weeks of gestation. C. The ultrasound will be transvaginal. D. The client must have a full bladder.

Correct Answer is D

Explanation

Choice A rationale

The client will be positioned in a prone position is incorrect because the prone position is not used for fetal anatomy ultrasounds.

Choice B rationale

The ultrasound will occur at 13 weeks of gestation is incorrect as the typical timing for a detailed fetal anatomy scan is around 18-22 weeks of gestation, not 13 weeks.

Choice C rationale

The ultrasound will be transvaginal is incorrect because at 20 weeks of gestation, a transabdominal ultrasound is more commonly used rather than a transvaginal one.

Choice D rationale

The client must have a full bladder is correct because a full bladder helps lift the uterus out of the pelvis, providing a clearer view during the ultrasound.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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