Using the sliding scale below, indicate the amount of regular insulin an individual with a blood glucose of 351 would receive
Select one:

>400 mg/dL: Call doctor for insulin order

201-250 mg/dL: 2 units regular insulin

251-300 mg/dL 4 units regular insulin

<200 mg/dL: no insulin

301-350 mg/dL: 6 units regular insulin

Answer and Explanation

The Correct Answer is F

A. This option applies only when glucose exceeds 400 mg/dL. This client’s level is 351 mg/dL.
B. The glucose level of 351 mg/dL is much higher than this range.
C. This dose applies to a lower glucose range of 251–300 mg/dL.
D. No insulin is given when glucose is below 200 mg/dL, which is not the case here.
E. The client's level is above 350 mg/dL, so this dose of 6 units is inadequate.
F. A blood glucose level of 351 mg/dL falls within the 351–400 mg/dL range, which corresponds to administering 8 units of regular insulin according to the sliding scale.

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Correct Answer is B

Explanation

A. This is a professional nursing responsibility requiring clinical judgment and cannot be delegated to UAP.

B. This is within the UAP’s scope of practice and can be safely delegated, especially under supervision.

C. Pain assessment requires nursing judgment and should be done by licensed nursing staff.

D. Medication administration is a licensed nursing function and cannot be delegated to UAP.

A. Diet management B. Fluid and electrolyte management. C. Dialysis D. Continuous IV infusion of sodium and potassium.

Correct Answer is D

Explanation

A. Clients with chronic renal failure often need dietary restrictions (e.g., low protein, low sodium, low potassium, fluid control) to reduce kidney workload and manage symptoms.

B. Monitoring and correcting imbalances in electrolytes like potassium, sodium, calcium, and fluid volume is a critical part of nursing care in chronic kidney disease.

C. When kidney function deteriorates significantly, dialysis becomes necessary to remove waste products and excess fluids from the blood.

D. Chronic renal failure patients are often unable to excrete sodium and potassium properly, so infusing them continuously would likely worsen electrolyte imbalances and lead to dangerous complications such as hyperkalemia or fluid overload. This is not a standard treatment.

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Using the sliding scale below, indicate the amount of regular insulin an individual with a blood glucose of 351 would receive Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An LPN/LVN is supervising a UAP in a rehabilitation setting. Two admissions arrive within close proximity. The LPN knows that which task is appropriate to delegate? Select one:

Correct Answer is B

Explanation

Which of the following is NOT an expected nursing intervention/treatment for chronic renal failure? Select one:

Correct Answer is D

Explanation

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Using the sliding scale below, indicate the amount of regular insulin an individual with a blood glucose of 351 would receive
Select one: