Aydan Miller is an 8-year-old with a history of Type 1 Diabetes. Current medications are: Glargine (Lantus; Insulin 5 units subcutaneous at bedtime Insulin lispro (Humalog) 1 unit per 50 grams of carbohydrates eaten. Aydan has just eaten 150 grams of carbs for lunch at school.
Which of the following medications will the nurse prepare to administer to Aydan?
3 units of his prescribed long acting insulin.
3 units of his prescribed rapid acting insulin.
5 units of his prescribed long acting insulin.
150 units of prescribed rapid acting insulin.
The Correct Answer is B
According to the given information, Aydan's insulin lispro (Humalog) dosage is 1 unit per 50 grams of carbohydrates eaten. As Aydan has just consumed 150 grams of carbs for lunch, we can calculate the insulin dose as follows:
Insulin dose = Carbohydrates eaten / Insulin-to-carbohydrate ratio Insulin dose = 150 grams / 50 grams/unit
Insulin dose = 3 units
Therefore, the nurse should prepare to administer 3 units of Aydan's prescribed rapid-acting insulin (Insulin lispro) to cover the carbohydrates he consumed for lunch. The long-acting insulin (Glargine) is typically given at bedtime to provide a basal insulin level and is not directly related to meal coverage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A 3% saline solution is a hypertonic solution used to increase serum sodium levels in cases of severe hyponatremia. However, it can lead to fluid overload and pulmonary edema. The presence of crackles throughout both lung fields indicates the accumulation of fluid in the lungs, which is a serious adverse outcome.
The patient's radial pulse rate of 105 beats/min is within a normal range and does not directly indicate an adverse effect of the saline infusion.
The presence of sediment and blood in the patient's urine may be unrelated to the 3% saline infusion and could indicate other issues such as urinary tract infection or kidney injury.
An increase in blood pressure from 66/50 to 122/74 mmHg is an expected effect of a hypertonic solution like 3% saline, as it can cause an increase in intravascular volume. While the increase in blood pressure is significant, it does not represent an adverse outcome specific to the infusion itself.
Correct Answer is C
Explanation
The glomerular filtration rate is a measure of how effectively the kidneys filter waste and excess fluid from the blood. It is a key indicator of kidney function. CKD is staged based on the GFR, which provides an estimate of the percentage of normal kidney function remaining.
While serum creatinine and urea levels are important markers used to assess kidney function, they are not the sole criteria for staging CKD. The degree of altered mental status and total daily urine output are important clinical observations but are not used for staging CKD.
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