A client in DKA is ordered regular insulin at 7 units per hour for the current blood glucose level. The institution protocol is to add 100 units of regular insulin to a 150 ml bag of normal saline. What is the correct rate for the nurse to set the IV pump for this dose?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["10.5"]
Step 1: Determine the concentration of insulin in the IV bag. 100 units of insulin are added to 150 mL of normal saline.
100 units ÷ 150 mL = (100 ÷ 150) = 0.6667 units per mL Result: 0.6667 units per mL
Step 2: Calculate the rate in mL per hour needed to deliver 7 units per hour. 7 units per hour ÷ 0.6667 units per mL = (7 ÷ 0.6667) = 10.5 mL per hour Result: 10.5 mL per hour
The correct rate for the nurse to set the IV pump is 10.5 mL per hour.
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Related Questions
Correct Answer is ["6.7"]
Explanation
Step 1: Convert the total daily dose from grams to milligrams. 1.2 grams × 1000 = 1200 milligrams Result: 1200 milligrams
Step 2: Divide the total daily dose by the number of doses per day to find the dose per administration. 1200 milligrams ÷ 3 = 400 milligrams per dose Result: 400 milligrams per dose
Step 3: Determine how many milliliters are needed for each dose. The medication is supplied as 300 mg/5 mL. 400 milligrams ÷ 300 milligrams = (400 ÷ 300) = 1.3333 Result: 1.3333
Step 4: Multiply the result by the volume (5 mL) to find the volume needed per dose. 1.3333 × 5 mL = 6.6665 mL Result: 6.6665 mL
Step 5: Round the result to the nearest tenth. 6.6665 mL rounded to the nearest tenth = 6.7 mL Result: 6.7 mL
The nurse will administer 6.7 mL per dose.
Correct Answer is A
Explanation
The correct answer is a. I feel so defeated and want to hide after I have binged.
Choice A Reason:
Individuals with binge-eating disorder often experience intense feelings of shame, guilt, and defeat after a binge episode. This emotional response is a hallmark of the disorder and can lead to further cycles of binge eating as a way to cope with these negative emotions. The statement “I feel so defeated and want to hide after I have binged” accurately reflects the emotional turmoil that accompanies binge-eating episodes.
Choice B Reason:
The statement “I am able to control the pace of my bingeing when I start getting full” is not typically associated with binge-eating disorder. People with this disorder often feel a loss of control over their eating during a binge episode and are unable to stop even when they are full. This lack of control is a key diagnostic criterion for binge-eating disorder.
Choice C Reason:
While feeling hungry can trigger a binge, it is not the primary characteristic of binge-eating disorder. The disorder is more about the uncontrollable nature of the eating episodes and the emotional distress that follows, rather than just responding to hunger. Therefore, the statement “My binges usually start off with feeling hungry” does not fully capture the essence of the disorder.
Choice D Reason:
Binge-eating as a reward for completing difficult tasks is not a typical feature of binge-eating disorder. The disorder is more about using food as a way to cope with negative emotions rather than as a reward. The statement “I binge to reward myself for completing difficult tasks” does not align with the common emotional triggers for binge-eating episodes.
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