Four patients are due to receive their morning insulin and breakfast will be served in 15 minutes. Which patient should the nurse administer insulin to first?
The patient with a pre-meal glucose level of 90 mg/dL, scheduled to receive 10 units of NPH.
The patient with a pre-meal glucose level of 70 mg/dL, scheduled to receive 2 units of aspart (Novolog) insulin.
The patient with a pre-meal glucose level of 120 mg/dL, scheduled to receive 15 units of NPH.
The patient with a pre-meal glucose level of 170 mg/dL, scheduled to receive 5 units of lispro (Humalog) insulin.
The Correct Answer is D
Choice A rationale
The patient with a pre-meal glucose level of 90 mg/dL, scheduled to receive 10 units of NPH, is not in immediate need of insulin. NPH is an intermediate-acting insulin, and a glucose level of 90 mg/dL is within the normal range.
Choice B rationale
The patient with a pre-meal glucose level of 70 mg/dL, scheduled to receive 2 units of aspart (Novolog) insulin, is not in immediate need of insulin. A glucose level of 70 mg/dL is at the lower end of the normal range, and aspart is a rapid-acting insulin.
Choice C rationale
The patient with a pre-meal glucose level of 120 mg/dL, scheduled to receive 15 units of NPH, is not in immediate need of insulin. A glucose level of 120 mg/dL is slightly elevated, but NPH is an intermediate-acting insulin.
Choice D rationale
The patient with a pre-meal glucose level of 170 mg/dL, scheduled to receive 5 units of lispro (Humalog) insulin, should receive insulin first. A glucose level of 170 mg/dL is significantly elevated, and lispro is a rapid-acting insulin, making it the most appropriate choice for immediate administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While medication can be part of an effective treatment plan for anxiety disorders, it is not typically the first line of treatment. Medication alone is not considered the most productive way to treat anxiety disorders.
Choice B rationale
Uncovering and addressing the cause of anxiety is considered an effective approach to treating anxiety disorders. This often involves cognitive behavioral therapy (CBT), which helps individuals change negative thought patterns and develop coping strategies.
Choice C rationale
Allowing the client to self-medicate with over-the-counter (OTC) medications is not recommended. OTC medications may not be effective in treating anxiety disorders and could potentially have harmful interactions with other medications.
Choice D rationale
Immediately starting multiple-drug therapy is not typically the first line of treatment for anxiety disorders. It’s important to start with one medication and monitor its effectiveness before adding additional medications.
Correct Answer is B
Explanation
The correct answer is B. 10 units of Humulin R insulin in a 500-unit insulin syringe.
Choice A rationale: This choice is incorrect because a 100-unit syringe would not be able to hold enough U-500 insulin (5 times more concentrated) to deliver the prescribed 10 units. Using a 100-unit syringe could lead to an inaccurate dose.
Choice B rationale: This choice is correct. U-500 Humulin R insulin is a concentrated form containing 5 times more insulin per milliliter compared to U-100 insulin. Therefore, a 500-unit syringe is appropriate to measure the prescribed 10 units accurately.
Choice C rationale: This choice is incorrect. A 30-unit syringe would not have the capacity to hold even the 10 units of U-500 insulin. It would be impossible to draw up the correct dose with this syringe size.
Choice D rationale: This choice is incorrect. Similar to choice A, a 50-unit syringe is not suitable for U-500 insulin due to its limited capacity. It would lead to an inaccurate measurement of the 10-unit dose.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.