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.).

Answer and Explanation

The Correct Answer is ["40"]

The client’s 0730 finger stick glucose is 271 mg/dL. According to the sliding scale parameters, the client should receive:

Step 1: Determine the amount of insulin aspart based on the sliding scale. Since the glucose level is 271 mg/dL, which falls in the range of 270 to 300 mg/dL, the client should receive 15 units of insulin aspart.

Step 2: Add the amount of NPH insulin to the amount of insulin aspart. The client has a prescription for NPH insulin 25 units before breakfast. So, the total amount of insulin this client should receive is 25 units (NPH insulin) + 15 units (insulin aspart) = 40 units.

So, the total amount of insulin this client should receive is 40 units.

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Correct Answer is D

Explanation

The correct answer is D. Electrolytes.

Choice A rationale: The white blood cell count (WBC) is typically reviewed for signs of infection or inflammation, but it is not directly related to numbness and tingling.

Choice B rationale: Hematocrit levels assess the proportion of red blood cells in the blood, which are not commonly associated with numbness and tingling.

Choice C rationale: Albumin and protein levels are important for nutritional status and overall health but are not directly associated with numbness and tingling.

Choice D rationale: Electrolytes are crucial for nerve function and muscle contractions. Abnormal levels of electrolytes (such as calcium, potassium, or sodium) can lead to symptoms like numbness and tingling in the extremities.

A. The vaccine is not useful if you have ever had a case of shingles. B. If you are 60 or older, the one-time vaccination is recommended. C. You do not need to get this vaccination if you have had chicken pox. D. The vaccination minimizes outbreaks of cold sores.

Correct Answer is B

Explanation

The Herpes zoster (shingles) vaccination is recommended for adults aged 60 years and older, regardless of whether they have had shingles or chicken pox before. The vaccine can reduce the risk of developing shingles and its complications, such as postherpetic neuralgia.

The other options are not correct because:

A. The vaccine is useful even if the person has had a case of shingles before, as shingles can recur in some people. The vaccine can prevent or reduce the severity of future episodes.

C. The person needs to get this vaccination even if they have had chickenpox, as shingles are caused by the reactivation of the same virus that causes chickenpox (varicella-zoster virus). The vaccine can boost the immunity against the virus and prevent it from reactivating.

D. The vaccination does not minimize outbreaks of cold sores, as cold sores are caused by a diﬀerent virus (herpes simplex virus). The vaccine has no eﬀect on this virus or its symptoms.

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Naxlex Comprehensive Predictor Exams

A client reports feeling numbness and tingling in the extremities. Which of the client's serum laboratory values should the practical nurse (PN) review before reporting the finding?

Correct Answer is D

Explanation

An older adult female asks the practical nurse (PN) if she should get a Herpes zoster (shingles) vaccination because she gets cold sores on her mouth when she is sick or stressed. Which response should the PN provide?

Correct Answer is B

Explanation

The practical nurse (PN) is reviewing a client's recent ophthalmic screening test results. Findings of optic neuropathy, loss of peripheral vision, and increased intraocular pressure are consistent with which medical condition?

An unlicensed assistive personnel (UAP) is completing an orientation assignment and is caring for a client who needs assistance with bathing. What is the best way for the practical nurse (PN) to evaluate this UAP's performance?

During a clinic visit, a mother tells the practical nurse (PN) that she keeps her 2-year-old child in a playpen so he will not get dirty. Which rationale should the PN use in responding to this parent?

The practical nurse (PN) prepares to remove a client's saline lock. Which supplies should the PN gather? (Select all that apply.)

A male client who has just been told he has cancer asks the practical nurse (PN) to leave his room so he can be alone. Which action should the PN implement?

The practical nurse (PN) observes unlicensed assistive personnel (UAP) bathing a bedfast client with the bed in a high position. Which action should the PN take?

Which intervention is most important for the practical nurse (PN) to implement for a client who is receiving total parenteral nutrition (TPN)?

A male college student brings his roommate to the clinic because the roommate has been talking to someone who is not present. The client tells the practical nurse (PN) that the voices are saying, "Kill, kill.”. Which question should the PN ask the client next?