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HESI PN EXIT Exam Two
HESI PN EXIT Exam Two ( 75 Questions)
A client has a prescription for NPH insulin 25 units before breakfast and insulin aspart before meals and hour of sleep per sliding scale. The sliding scale parameters are:. 0 units for finger stick glucose less than 170 mg/dL;. 5 units for finger stick glucose 171 to 219 mg/dL;. 10 units for finger stick glucose 220 to 269 mg/dL;. 15 units for finger stick glucose 270 to 300 mg/dL.
Call healthcare provider for finger stick glucose greater than 300 mg/dL. The client's 0730 finger stick glucose is 271 mg/dL. What is the total amount of insulin this client should receive? (Enter numeric value only.).
Choice A rationale:
Blood glucose level of 271 mg/dL falls within the range of 270 to 300 mg/dL, which corresponds to a sliding scale dose of 15 units.
Choice B rationale:
Oxygen saturation measurement is not relevant to the calculation of insulin dosage in this scenario, so it is not the most important information for the nurse to consider when determining the insulin dose.
Choice C rationale:
The client's orientation status is also not directly related to the insulin dosage, making it less important in this context.
Choice D rationale:
Urinary output of 50 mL/hour is not relevant to the calculation of insulin dosage, so it is not the most critical information for the nurse to consider.