The healthcare provider prescribes regular insulin 8 units/hr intravenously (IV). The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)

Answer and Explanation

The Correct Answer is ["8"]

Given:

IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline.

The prescribed rate is 8 units/hr.

First, we find out how many units are present in 1 mL of the IV solution: 100 units / 100 mL = 1 unit / 1 mL

Now, since the prescribed rate is 8 units/hr, we need to infuse 8 mL/hr of the IV solution to deliver 8 units of insulin per hour.

So, the nurse should program the infusion pump to deliver 8 mL/hr.

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Correct Answer is ["B","H"]

Explanation

A. Chesty: Not a priority compared to monitoring vital signs and ensuring adequate oxygenation.
B. Start oxygen 3 L via nasal cannulA Increased oxygen flow is necessary to manage the

client's respiratory distress and history of smoking. Correct Answer: 3 L, not 1 L as initially listed.
C. Acetaminophen 350 mg PO q4h for temperature greater than 101 F (38.3°C): Important for fever management but not the first priority in acute respiratory distress.

D. Normal saline 150 ml/hour: Helps maintain hydration but is secondary to respiratory support in this scenario.
E. NPO: Not applicable as there is no immediate need for surgery or risk of aspiration currently indicated.
F. Start an IV: Important for medication administration and fluid balance but follows after ensuring respiratory function.
G. Sputum culture: Useful for diagnosing the cause of respiratory symptoms but not a first- line action.
H. Place the client on a cardiorespiratory monitor: Essential for continuously assessing the client's respiratory and cardiac status due to difficulty breathing.

A. Maintain a quiet, non-stimulating environment. B. Force oral fluids and provide frequent small meals C. Confront the client's denial of substance abuse. D. Encourage attendance and group participation.

Correct Answer is A

Explanation

A. A quiet, non-stimulating environment helps reduce sensory overload and agitation, which are common in alcohol withdrawal delirium.
B. While hydration and nutrition are important, they are not as immediately critical as managing environmental stimuli.
C. Confronting the client's denial is a part of psychological therapy but not the most immediate concern during acute withdrawal delirium.
D. Group participation may be too stimulating for a client in acute withdrawal and can exacerbate symptoms.

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The healthcare provider prescribes regular insulin 8 units/hr intravenously (IV). The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","H"]

Explanation

Which nursing intervention is most important for the nurse to include in the plan of care for a client with alcohol withdrawal delirium?

Correct Answer is A

Explanation

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