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 ["C","D","E","F","I","J"]

Explanation

A. Transfer to NICU - While NICU care is important, immediate stabilization takes precedence.

B. Keep in warmer with bilirubin lights - This is important for thermoregulation and managing jaundice but is not the most immediate concern.

C. Bolus of 2 ml/kg glucose 10% IV - This is critical to address the hypoglycemia (blood glucose 35 mg/dl).

D. Blood glucose level - Monitoring is essential for ongoing assessment of hypoglycemia.

E. Contact Respiratory Therapy for ABG and oxygen therapy - Given the high respiratory rate and potential for respiratory distress, this is a priority.

F. Feed immediately - Feeding can help stabilize blood glucose levels.

G. Apply dextrose (sugar) gel inside the baby's cheek - This is an alternative to IV glucose but less immediate than a bolus.

H. Echocardiogram - Important for cardiac assessment but not an immediate priority.

I. Monitor for respiratory distress - Essential due to the high respiratory rate and risk of complications from maternal diabetes.

J. Monitor temperature every 30 minutes - Important for detecting hypothermia due to the low axillary temperature.

A. Think about reasons the episodes occur. B. Center attention on positive upbeat music. C. Practice using muscle relaxation techniques. D. Find outlets for more social interaction.

Correct Answer is C

Explanation

A. Thinking about the reasons behind the anxiety episodes can be helpful for long-term management, but it may not provide immediate relief during acute episodes of anxiety.

B. While music can be a form of relaxation for some individuals, it may not be as universally effective as muscle relaxation techniques for managing anxiety.

C. Muscle relaxation techniques, such as deep breathing and progressive muscle relaxation, are evidence-based strategies for reducing anxiety levels. They promote relaxation and decrease muscle tension, providing immediate relief during episodes of anxiety.

D. Social interaction can be beneficial for overall well-being, but it may not directly address the symptoms of anxiety in the moment.

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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

Patient data Exhibits The nurse is reviewing the orders for the infant of a diabetic mother to determine priorities Which 6 orders take priority?

Correct Answer is ["C","D","E","F","I","J"]

Explanation

The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?

Correct Answer is C

Explanation

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